Eagle Therapeutic Services Llc | |
1565 Ebenezer Rd Ste 102 Rock Hill SC 29732-2494 | |
(980) 643-1148 | |
Not Available |
Full Name | Eagle Therapeutic Services Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1565 Ebenezer Rd Ste 102, Rock Hill, South Carolina |
Authorized Official Name and Position | Paul Maurice Ewing (OWNER/MANAGER) |
Authorized Official Contact | 9806431148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eagle Therapeutic Services Llc 677 Nannyberry Ln Concord NC 28025-9003 Ph: (336) 772-5711 | Eagle Therapeutic Services Llc 1565 Ebenezer Rd Ste 102 Rock Hill SC 29732-2494 Ph: (980) 643-1148 |
NPI Number | 1083381297 |
---|---|
Provider Enumeration Date | 08/25/2021 |
Last Update Date | 08/31/2021 |
Certification Date | 08/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083381297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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