Easter Seals Ucp North Carolina
Organization Active NPI Community/Behavioral Health Agency · Raleigh, NC
NPI 1811041544 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1811041544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EASTER SEALS UCP NORTH CAROLINA
- Practice address
- 2315 Myron Dr
Raleigh, NC 27607-3344 - Phone
- (704) 566-6040
- Fax
- (704) 971-2537
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Tweed
- Title
- Controller
- Phone
- (704) 566-6040
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Easter Seals Ucp North Carolina Virginia Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2315 Myron Dr
Raleigh, NC 27607-3344
Mailing address
5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 566-6040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300620B | Medicaid | NC |
Other providers in Raleigh, NC
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina
All providers in Raleigh, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.