Organization
EASTER SEALS UCP ASAP INC
Active
Other names
Area Services and Programs Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
(919) 865-8772
Entity
Organization
Contact information
Practice address
3801 LAKE BOONE TRL, SUITE 320, RALEIGH, NC 27607-2934
(919) 865-8772
Mailing address
3801 LAKE BOONE TRL, SUITE 320, RALEIGH, NC 27607-2934
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NC32314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913355
—
NC
Enumeration date
07/05/2006
Last updated
05/08/2008
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