| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
1650 Wimbledon Dr Apt 101 Greenville NC 27858-5389 | |
| (252) 355-0223 | |
| (252) 751-9721 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1650 Wimbledon Dr Apt 101, Greenville, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Ste 211 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 1650 Wimbledon Dr Apt 101 Greenville NC 27858-5389 Ph: (252) 355-0223 |
| NPI Number | 1396423851 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396423851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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