Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICAHRD EDWARDS (VP)
(919) 783-8898
Entity
Organization
Contact information
Practice address
200 W 4TH ST, GREENVILLE, NC 27858-1816
(919) 783-8898
Mailing address
5171 GLENWOOD AVE, STE 400, RALEIGH, NC 27612-3266
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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