NPI | 1962926766 |
---|---|
Doing Business As | EAGER STREET COUNSELING |
Entity Type | Organization |
Authorized Contact | AMANDA CHRISTINEBRENNAN WEAVER Owner 410-205-9782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC7221) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2018-05-23 |