Organization
UNCLE NUNK NUNK'S LLC
Active
Organization
UNCLE NUNK NUNK'S LLC
Active
Other names
Uncle Nunk Nunk, Innovative Youth Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
ZECHARIAH EZEKIEL THOMAS MBA (OWNER)
(706) 412-1410
Entity
Organization
Contact information
Practice address
4405 TILLMAN RD, CHARLOTTE, NC 28208-2111
(706) 412-1410
Mailing address
4405 TILLMAN RD, CHARLOTTE, NC 28208-2111
(706) 412-1410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/14/2025
Last updated
02/26/2026
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