| Easter Seals Ucp | |
|
4038 Capital Dr Rocky Mount NC 27804-3123 | |
| (252) 467-2860 | |
| Not Available |
| Full Name | Easter Seals Ucp |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4038 Capital Dr, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Andrea Denise Lane (SUBSTANCE ABUSE) |
| Authorized Official Contact | 9192748356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp 4038 Capital Dr Rocky Mount NC 27804-3123 Ph: (252) 467-2860 | Easter Seals Ucp 4038 Capital Dr Rocky Mount NC 27804-3123 Ph: (252) 467-2860 |
| NPI Number | 1457745697 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457745697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-A (North Carolina) | Primary |
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