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) 865-8772
Entity
Organization
Contact information
Practice address
214 BEAMAN ST, CLINTON, NC 28328-2906
(910) 596-2221
(910) 596-2229
Mailing address
3801 LAKE BOONE TRL, SUITE 320, RALEIGH, NC 27607-2934
(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
01
—
018KJ
NC BCBS
NC
05
—
8300710
—
NC
05
—
8300710A
—
NC
05
—
8300710B
—
NC
05
—
8300710F
—
NC
05
—
8300710G
—
NC
05
—
8300710H
—
NC
05
—
8300710I
—
NC
Enumeration date
02/07/2007
Last updated
09/23/2007
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