Provider Demographics
NPI:1801046206
Name:UNIQUE FAMILY SERVICES
Entity Type:Organization
Organization Name:UNIQUE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QA/QI
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMELIA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:KING-CROMARTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-738-7479
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-0561
Mailing Address - Country:US
Mailing Address - Phone:910-738-7479
Mailing Address - Fax:910-738-7961
Practice Address - Street 1:307 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-5431
Practice Address - Country:US
Practice Address - Phone:910-738-7479
Practice Address - Fax:910-738-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health