| Supported Employment Alamance | |
|
102 Old Eastwood Rd Unit D2-9 Wilmington NC 28403-0500 | |
| (910) 251-5555 | |
| (910) 251-0590 |
| Full Name | Supported Employment Alamance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 Old Eastwood Rd Unit D2-9, Wilmington, North Carolina |
| Authorized Official Name and Position | Ed Martin Walsh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9102512555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supported Employment Alamance Po Box 4203 Wilmington NC 28406-1203 Ph: (910) 251-2555 | Supported Employment Alamance 102 Old Eastwood Rd Unit D2-9 Wilmington NC 28403-0500 Ph: (910) 251-5555 |
| NPI Number | 1386037505 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386037505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | (* (Not Available)) | Secondary |
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