| NPI | 1750506945 |
|---|---|
| Doing Business As | EAGLE RECOVERY SERVICES & CONSULTATION |
| Entity Type | Organization |
| Authorized Contact | SUSAN GAYLE WHITE Executive Director 913-837-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 584) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2008-06-19 |