NPI | 1972094902 |
---|---|
Doing Business As | EAGLE VISION BEHAVIOR HEALTH |
Entity Type | Organization |
Authorized Contact | COURTENAY Y HALL Therapist 919-892-6614 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14380) |
Enumeration Date | 2018-05-25 |
Last Update Date | 2019-11-05 |