# EASTER SEALS UCP NORTH CAROLINA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396974986
- **Authorized official:** RICHARD P EDWARDS (SR. DIRECTOR, QM)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 2111 NEUSE BLVD, SUITE F, NEW BERN, NC 28560-4317
- **Practice address phone:** (252) 636-6007
- **Practice address fax:** (252) 636-3732
- **Mailing address:** 2315 MYRON DR, RALEIGH, NC 27607-3344
- **Mailing address phone:** (919) 783-8898
- **Mailing address fax:** (919) 782-5486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 07/06/2009