Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (VP)
(919) 783-8898
Entity
Organization
Contact information
Practice address
824 GUM BRANCH RD, SUITES C & D, JACKSONVILLE, NC 28540-6272
(910) 347-9111
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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