{"npi":"1891843009","type":"NPI-2","status":"active","name":{"display":"Unique Haven Residential Services LLC","other":[],"organization_name":"UNIQUE HAVEN RESIDENTIAL SERVICES LLC","authorised_official":"Alethea Marcellus"},"specialty":{"primary_taxonomy":"320600000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320600000X","description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","primary":true,"state":"NC","license":"MHL-039-043"}]},"addresses":[{"purpose":"LOCATION","street_1":"608 YOUNG ST","city":"CREEDMOOR","state":"NC","postal_code":"275228347","country_code":"US","phone":"9195287439"},{"purpose":"MAILING","street_1":"PO BOX 713","city":"CREEDMOOR","state":"NC","postal_code":"275220713","country_code":"US","phone":"9195287439"}],"license":{"state":"NC","number":"MHL-039-043"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7805713","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-07","last_updated":"2007-08-16","_meta":{"source":"NPPES","snapshot_date":"2007-08-16","doc_url":"https://findmynpi.com/api"}}