| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
4000 Wake Forest Rd Ste 200 Raleigh NC 27609-6879 | |
| (919) 861-1600 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4000 Wake Forest Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CONTRACT SPECIALIST) |
| 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 211 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 4000 Wake Forest Rd Ste 200 Raleigh NC 27609-6879 Ph: (919) 861-1600 |
| NPI Number | 1548314271 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548314271 | NPI | - | NPPES |
| 8300466B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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