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Organization
EAGLE THERAPEUTIC SERVICES LLC
Active
Organization
EAGLE THERAPEUTIC SERVICES LLC
Active
Other names
Eagle Therapeutic Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MAURICE EWING LPC (OWNER/MANAGER)
(980) 643-1148
Entity
Organization
Contact information
Practice address
1565 EBENEZER RD STE 102, ROCK HILL, SC 29732-2494
(980) 643-1148
Mailing address
677 NANNYBERRY LN, CONCORD, NC 28025-9003
(336) 772-5711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/31/2021
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