Organization
EASTER SEALS UCP NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P EDWARDS (SR. DIRECTOR, QM)
(919) 783-8898
Entity
Organization
Contact information
Practice address
2111 NEUSE BLVD, SUITE F, NEW BERN, NC 28560-4317
(252) 636-6007
(252) 636-3732
Mailing address
2315 MYRON DR, RALEIGH, NC 27607-3344
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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