Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (VP)
(919) 783-8898
Entity
Organization
Contact information
Practice address
351 WAGONER DR, SUITE 160, FAYETTEVILLE, NC 28303-4608
(919) 783-8898
Mailing address
5171 GLENWOOD AVE, STE 400, RALEIGH, NC 27612-3266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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