Easter Seals Ucp North Carolina | |
2315 Myron Dr Raleigh NC 27607-3344 | |
(704) 566-6040 | |
(704) 971-2537 |
Full Name | Easter Seals Ucp North Carolina |
---|---|
Speciality | Community/behavioral Health |
Location | 2315 Myron Dr, Raleigh, North Carolina |
Authorized Official Name and Position | Susan Tweed (CONTROLLER) |
Authorized Official Contact | 7045666040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Easter Seals Ucp North Carolina 5700 Executive Center Dr Suite 110 Charlotte NC 28212-8858 Ph: (704) 566-6040 | Easter Seals Ucp North Carolina 2315 Myron Dr Raleigh NC 27607-3344 Ph: (704) 566-6040 |
NPI Number | 1982758611 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 06/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982758611 | NPI | - | NPPES |
8300496B | Medicaid | NC | |
8300496I | Medicaid | NC | |
8300496H | Medicaid | NC | |
8300496G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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