Organization
EASTER SEALS UCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SPIVEY (VICE PRESIDENT)
(919) 783-8898
Entity
Organization
Contact information
Practice address
2260 S CHURCH ST, SUITE 303, BURLINGTON, NC 27215-5390
(336) 585-1737
Mailing address
2260 S CHURCH ST, SUITE 303, BURLINGTON, NC 27215-5390
(336) 585-1737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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