| Organization Name: | EASTER SEALS UCP ASAP INC |
| NPI Number: | 1003847229 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA SULLIVAN (DIRECTOR OF SUPPORT SERVICES) |
| Mailing Address: | 3801 Lake Boone Trl Suite 320 Raleigh |
| State: | NC US |
| Postal Code: | 276072934 |
| Phone Number: | 9198658772 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 05/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | NC32314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |