Organization
EASTER SEALS UCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELYSE HELEN FROSCH M.ED/ED.S, LPC, QP (INTENSIVE IN-HOME TEAM LEAD)
(919) 368-6373
Entity
Organization
Contact information
Practice address
3801 LAKE BOONE TRL, 100, RALEIGH, NC 27607
(919) 368-6373
Mailing address
3801 LAKE BOONE TRL, 100, RALEIGH, NC 27607-2934
(919) 368-6373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891135810
—
NC
Enumeration date
07/05/2013
Last updated
07/08/2013
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