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NPI 1629535216 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Douglas, GA
Provider details
- NPI number
- 1629535216
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Unison Behavioral Health
- Organization subpart
- Yes
- Authorized official
- Laura Simpson, Manager(912) 449-7109
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
806 Grady Ave N
Douglas, GA 31533-4812
Phone: (912) 449-7100
Street-level locationGet directions
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Registry dates
- Enumerated
- 2019-03-01
- Last updated
- 2019-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.