| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
301 S Church St Suite 200 Rocky Mount NC 27804-5755 | |
| (252) 467-2860 | |
| (252) 467-2865 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 301 S Church St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Richard P Edwards (VICE PRESIDENT) |
| Authorized Official Contact | 9197838898 |
| 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 Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 301 S Church St Suite 200 Rocky Mount NC 27804-5755 Ph: (252) 467-2860 |
| NPI Number | 1700922333 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700922333 | NPI | - | NPPES |
| 5904294 | Medicaid | NC | |
| 018KJ | Other | NC | MD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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