Organization Name: | EASTER SEALS UCP ASAP INC. |
NPI Number: | 1407044779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA G SULLIVAN (DIRECTOR OF SUPPORT SERVICES) |
Mailing Address: | 339 Wall St Yanceyville |
State: | NC US |
Postal Code: | 273799382 |
Phone Number: | 3366944333 |
Fax Number: | 3366947325 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |