| Easter Seals Ucp North Carolina & Virginia | |
|
511 Wilson Ave Spring Lake NC 28390-3648 | |
| (919) 783-8898 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 511 Wilson Ave, Spring Lake, North Carolina |
| Authorized Official Name and Position | Richard Edwards (VP SERVICE LINE) |
| 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 5171 Glenwood Ave Raleigh NC 27612-3266 Ph: () - | Easter Seals Ucp North Carolina & Virginia 511 Wilson Ave Spring Lake NC 28390-3648 Ph: (919) 783-8898 |
| NPI Number | 1295169720 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295169720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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