Organization
EASTER SEALS UCP ASAP INC.
Active
Other names
Area Services and Programs Ince.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
(919) 865-8772
Entity
Organization
Contact information
Practice address
339 WALL ST, YANCEYVILLE, NC 27379-9382
(336) 694-4333
(336) 694-7325
Mailing address
3801 LAKE BOONE TRAIL, SUITE 320, RALEIGH, NC 27607
(919) 865-8772
(919) 784-9184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301522A
—
NC
05
—
8301522B
—
NC
Enumeration date
10/11/2007
Last updated
10/11/2007
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