# UNIQUE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194967513
- **Authorized official:** MR. MITCHELL JEROME BRATTON B. S. HUMAN SERVICE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 473-8736

## Contact information

- **Practice address:** 310 FORESTROSE DR, LEXINGTON, NC 27295-2107
- **Practice address phone:** (336) 473-8736
- **Practice address fax:** (336) 728-4360
- **Mailing address:** 310 FORESTROSE DR, LEXINGTON, NC 27295-2107
- **Mailing address phone:** (336) 473-8736
- **Mailing address fax:** (336) 728-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-029-112 | NC | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 03/31/2009