| NPI | 1770187445 |
|---|---|
| Doing Business As | ANGELA EADES, LCSW |
| Entity Type | Organization |
| Authorized Contact | ANGELA NICOLE EADES Owner 276-676-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |