| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
824 Gum Branch Rd Suites C & D Jacksonville NC 28540-6272 | |
| (910) 347-9111 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 824 Gum Branch Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Richard Edwards (VP) |
| Authorized Official Contact | 9197838898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 824 Gum Branch Rd Suites C & D Jacksonville NC 28540-6272 Ph: (910) 347-9111 |
| NPI Number | 1982996674 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982996674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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