| Easter Seals Ucp North Carolina | |
|
2315 Myron Dr Raleigh NC 27607-3344 | |
| (704) 566-6040 | |
| (704) 971-2537 |
| Full Name | Easter Seals Ucp North Carolina |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2315 Myron Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Susan Tweed (CONTROLLER) |
| Authorized Official Contact | 7045666040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina 5700 Executive Center Dr Suite 110 Charlotte NC 28212-8858 Ph: (704) 566-6040 | Easter Seals Ucp North Carolina 2315 Myron Dr Raleigh NC 27607-3344 Ph: (704) 566-6040 |
| NPI Number | 1205972312 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205972312 | NPI | - | NPPES |
| 6600661 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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