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NPI 1346731833 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waycross, GA
Provider details
- NPI number
- 1346731833
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Unison Behavioral Health
- Organization subpart
- Yes
- Authorized official
- Laura Simpson, Billing Manager(912) 449-7109
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1107 Carswell Ave
Waycross, GA 31503-4854
Phone: (912) 449-7109
Approximate (ZIP-level) locationGet directions
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Registry dates
- Enumerated
- 2018-05-21
- Last updated
- 2018-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.