Organization
EASTER SEALS UCP - ASAP INC
Active
Other names
AREA SERVICES AND PROGRAMS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
(919) 784-9182
Entity
Organization
Contact information
Practice address
134 WIND CHIME CT, RALEIGH, NC 27615-6433
(919) 784-9182
(919) 784-9184
Mailing address
524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(919) 784-9182
(919) 784-9184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018KJ
BCBS
NC
05
—
5905484
—
NC
Enumeration date
01/30/2007
Last updated
08/22/2020
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