Organization
UNIQUELY DIFFERENT THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA GORDON (OWNER)
(757) 777-5240
Entity
Organization
Contact information
Practice address
533 REBEL RD, CHESAPEAKE, VA 23322-3523
(757) 777-5240
Mailing address
533 REBEL RD, CHESAPEAKE, VA 23322-3523
(757) 777-5240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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