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Organization
UNITY RESIDENTIAL SERVICE INC.
Active
Organization
UNITY RESIDENTIAL SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA JEANETTE GRANT (PRESIDENT/CEO)
(919) 879-8216
Entity
Organization
Contact information
Practice address
112 BARBOUR ST, CLAYTON, NC 27520-2402
(919) 879-8216
(919) 879-8479
Mailing address
112 BARBOUR ST, CLAYTON, NC 27520-2402
(919) 879-8216
(919) 879-8479
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL051149
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL051171
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL051180
NC
Other
Enumeration date
10/24/2006
Last updated
04/03/2013
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