| NPI | 1083381297 |
|---|---|
| Doing Business As | EAGLE THERAPEUTIC SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL MAURICE EWING Owner/Manager 980-643-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-31 |