Easter Seals Ucp North Carolina & Virginia, Inc. | |
1076 Nc Highway 86 N Yanceyville NC 27379-8645 | |
(336) 694-1487 | |
(336) 694-1681 |
Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 1076 Nc Highway 86 N, Yanceyville, 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. 1076 Nc Highway 86 N Yanceyville NC 27379-8645 Ph: (336) 694-1487 |
NPI Number | 1437367174 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 04/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437367174 | NPI | - | NPPES |
018KJ | Other | NC | BCBS |
8301522 | Medicaid | NC | |
8301522A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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