| Unison Behavioral Health Group, Inc | |
|
1425 Starr Ave Toledo OH 43605-2456 | |
| (419) 693-0631 | |
| (419) 936-7606 |
| Full Name | Unison Behavioral Health Group, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1425 Starr Ave, Toledo, Ohio |
| Authorized Official Name and Position | Jacob Mickey (REVENUE CYCLE COORDINATOR) |
| Authorized Official Contact | 4196930631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unison Behavioral Health Group, Inc 1425 Starr Ave Toledo OH 43605-2456 Ph: (419) 693-0631 | Unison Behavioral Health Group, Inc 1425 Starr Ave Toledo OH 43605-2456 Ph: (419) 693-0631 |
| NPI Number | 1306105382 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306105382 | NPI | - | NPPES |
| 2863969 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3440 (Ohio) | Primary |
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