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Organization
EASTER SEALS UCP ASAP INC.
Active
Organization
EASTER SEALS UCP ASAP INC.
Active
Other names
Area Services and Programs Ince.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
(919) 865-8772
Entity
Organization
Contact information
Practice address
339 WALL ST, YANCEYVILLE, NC 27379-9382
(336) 694-4333
(336) 694-7325
Mailing address
3801 LAKE BOONE TRAIL, SUITE 320, RALEIGH, NC 27607
(919) 865-8772
(919) 784-9184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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