Provider Demographics
NPI:1891844536
Name:UNITY FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:UNITY FAMILY SERVICES, INC.
Other - Org Name:CAMP UNITY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LSW
Authorized Official - Phone:724-845-2978
Mailing Address - Street 1:582 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-1532
Mailing Address - Country:US
Mailing Address - Phone:724-845-2978
Mailing Address - Fax:724-845-0923
Practice Address - Street 1:1001 S LEECHBURG HILL RD
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-9502
Practice Address - Country:US
Practice Address - Phone:724-845-2978
Practice Address - Fax:724-845-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA412650251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018518030001Medicaid