| NPI | 1265211023 |
|---|---|
| Doing Business As | EAGLE THERAPIST COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JORDAN Director 925-724-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |