Provider Demographics
NPI:1518665967
Name:UNIQUE CARE CONNECT INC
Entity Type:Organization
Organization Name:UNIQUE CARE CONNECT INC
Other - Org Name:WORK & PLAY CAFE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:WEIDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-358-5059
Mailing Address - Street 1:393 NEFF RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1644
Mailing Address - Country:US
Mailing Address - Phone:313-358-5059
Mailing Address - Fax:
Practice Address - Street 1:3060 PACKARD ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1944
Practice Address - Country:US
Practice Address - Phone:313-358-5059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty