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Easter Seals Ucp North Carolina & Virginia, INC.

Counselor, Mental Health in Raleigh, NC. Organization (NPI-2).

NPI number1124185657
StatusActive
Last updated in NPPESNov 20, 2015

Details

NPI
1124185657
Entity type
Organization (NPI-2)
Legal business name
Easter Seals Ucp North Carolina & Virginia, INC.
Organization subpart
No
Enumeration date
Jan 3, 2007
Last updated
Nov 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
251S00000X Community/Behavioral Health––

Practice location

4000 Wake Forest Rd
Ste 200
Raleigh, NC 27609-6879

Phone 919-861-1600 · Fax 919-861-1637

Mailing address

5171 Glenwood Ave
Suite 400
Raleigh, NC 27612-3266

Phone 919-783-8898 · Fax 919-782-5486

Authorized official

Richard P Edwards
Contract Administrator
9197838898

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