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Organization

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT TURNER BEAVERS (CREDENTIALING MANAGER)
(919) 210-7661
Entity
Organization

Contact information

Practice address
102 MEDICAL DR STE AB, ELIZABETH CITY, NC 27909-3361
(252) 335-0803
Mailing address
5171 GLENWOOD AVE STE 211, RALEIGH, NC 27612-3266
(919) 783-8898

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/05/2024
Last updated
04/05/2024
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