Organization
EASTER SEALS, UCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SANDREA KING MSW, LCASA (MST THERAPIST)
(252) 353-8001
Entity
Organization
Contact information
Practice address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
(252) 353-5559
Mailing address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
(252) 353-5559
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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