# UNIQUELY DIFFERENT THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1790465474
- **Authorized official:** SABRINA GORDON (OWNER)
- **Authorized official phone:** (757) 777-5240

## Contact information

- **Practice address:** 533 REBEL RD, CHESAPEAKE, VA 23322-3523
- **Practice address phone:** (757) 777-5240
- **Mailing address:** 533 REBEL RD, CHESAPEAKE, VA 23322-3523
- **Mailing address phone:** (757) 777-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023