Donnel Cross Host Home

NPI #1487185492 in Waycross, Georgia

Provider Information

NPI Number: 1487185492
Entity Type: Organization
Organization Name: Donnel Cross Host Home
Subpart: Yes (part of a larger organization)
Parent Organization: UNISON BEHAVIORAL HEALTH
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 22, 2017
Last Updated: Mar 22, 2017

Practice Location

Address: 1007 MARY ST
City: Waycross
State: Georgia
ZIP Code: 31503-3823
Phone: (912) 449-7100

Authorized Official

Name: GLYN THOMAS, PHD
Title: CEO
Phone: (912) 449-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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