| Unique Foundation, Inc | |
|
7128-b Albermarle Road Charlotte NC 28227-8861 | |
| (704) 569-8654 | |
| (704) 563-8677 |
| Full Name | Unique Foundation, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7128-b Albermarle Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Tyrone Miller (CEO) |
| Authorized Official Contact | 7042979456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Foundation, Inc 7128-b Albermarle Charlotte NC 28227-8856 Ph: (704) 569-8654 | Unique Foundation, Inc 7128-b Albermarle Road Charlotte NC 28227-8861 Ph: (704) 569-8654 |
| NPI Number | 1811046154 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811046154 | NPI | - | NPPES |
| CM1078 | Medicaid | SC |
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