Provider Demographics
NPI:1194616912
Name:UNITY LONG TERM BEHAVIORAL HEALTH FACILITY LLC
Entity type:Organization
Organization Name:UNITY LONG TERM BEHAVIORAL HEALTH FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UTURA
Authorized Official - Middle Name:GEMEDA
Authorized Official - Last Name:UDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-697-5791
Mailing Address - Street 1:2423 123RD ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6293
Mailing Address - Country:US
Mailing Address - Phone:206-697-5791
Mailing Address - Fax:
Practice Address - Street 1:2423 123RD ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6293
Practice Address - Country:US
Practice Address - Phone:206-697-5791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility