Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT TURNER BEAVERS (CREDENTIALING MANAGERE)
(919) 210-7661
Entity
Organization
Contact information
Practice address
144 COMMUNITY COLLEGE RD STE B, AHOSKIE, NC 27910-8047
(252) 209-8932
Mailing address
5171 GLENWOOD AVE STE 211, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
05/02/2024
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