Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD P EDWARDS (VICE PRESIDENT)
(919) 783-8898
Entity
Organization
Contact information
Practice address
1600 WAYNE MEMORIAL DR, SUITE F, GOLDSBORO, NC 27534-2201
(919) 587-0001
(919) 587-0007
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018KJ
NC BCBS GROUP
NC
05
—
8300746
—
NC
05
—
8300746A
—
NC
05
—
8300746B
—
NC
05
—
8300746F
—
NC
05
—
8300746G
—
NC
05
—
8300746H
—
NC
05
—
8300746I
—
NC
Enumeration date
12/14/2006
Last updated
11/23/2010
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