Carpenter Host Home

NPI #1629535216 in Douglas, Georgia

Provider Information

NPI Number
1629535216
Entity Type
Organization
Organization Name
Carpenter 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 1, 2019
Last Updated
Mar 1, 2019

Practice Location

Address
806 GRADY AVE N
State
Georgia
ZIP Code
31533-4812
Phone
(912) 449-7100

Authorized Official

Name
LAURA MICHELLE SIMPSON
Title
MANAGER
Phone
(912) 449-7109

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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