Unique Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-029-112 Issued in NC

Legal business name

UNIQUE SERVICES

Practice address

310 Forestrose Dr
Lexington, NC 27295-2107

Phone

(336) 473-8736

Fax

(336) 728-4360

NPI assigned

Mar 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mitchell Jerome Bratton, B. S. HUMAN SERVICE

Title

Executive Director

Phone

(336) 473-8736

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1194967513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FORESTROSE DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952107",
            "telephone_number": "336-473-8736",
            "fax_number": "336-728-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FORESTROSE DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952107",
            "telephone_number": "336-473-8736",
            "fax_number": "336-728-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-473-8736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B. S. HUMAN SERVICE"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-029-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lexington, NC
• Providers in Lexington, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.