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Organization

EASTER SEALS UCP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES EDWARD ROBINSON LCSW (MST PROGRAM SUPERVISOR)
(919) 865-8732
Entity
Organization

Contact information

Practice address
3801 LAKE BOONE TRL., SUITE 100, RALEIGH, NC 27607
(919) 865-8732
(919) 865-8733
Mailing address
3801 LAKE BOONE TRL, SUITE 100, RALEIGH, NC 27607-2934
(919) 865-8732
(919) 865-8733

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C008723
NC

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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