| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
4511 Franklin Ave Wilmington NC 28403-0601 | |
| (910) 791-0018 | |
| (910) 799-6333 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4511 Franklin Ave, Wilmington, 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. 4511 Franklin Ave Wilmington NC 28403-0601 Ph: (910) 791-0018 |
| NPI Number | 1073815379 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073815379 | NPI | - | NPPES |
| 8303044 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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