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Organization
UNIQUE SERVICES
Active
Organization
UNIQUE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL JEROME BRATTON B. S. HUMAN SERVICE (EXECUTIVE DIRECTOR)
(336) 473-8736
Entity
Organization
Contact information
Practice address
310 FORESTROSE DR, LEXINGTON, NC 27295-2107
(336) 473-8736
(336) 728-4360
Mailing address
310 FORESTROSE DR, LEXINGTON, NC 27295-2107
(336) 473-8736
(336) 728-4360
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-029-112
NC
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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