Organization
EASTER SEALS UCP NC & VA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANNE WELCH (C.E.O)
(919) 783-8898
Entity
Organization
Contact information
Practice address
500 MILITARY CUTOFF RD, WILMINGTON, NC 28405-9737
(910) 512-6986
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
# 1-16-22922
NC
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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