| Easter Seals Ucp | |
|
3801 Lake Boone Trl. Suite 100 Raleigh NC 27607 | |
| (919) 865-8732 | |
| (919) 865-8733 |
| Full Name | Easter Seals Ucp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3801 Lake Boone Trl., Raleigh, North Carolina |
| Authorized Official Name and Position | James Edward Robinson (MST PROGRAM SUPERVISOR) |
| Authorized Official Contact | 9198658732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp 3801 Lake Boone Trl Suite 100 Raleigh NC 27607-2934 Ph: (919) 865-8732 | Easter Seals Ucp 3801 Lake Boone Trl. Suite 100 Raleigh NC 27607 Ph: (919) 865-8732 |
| NPI Number | 1558786046 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558786046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008723 (North Carolina) | Primary |
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