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Organization
EAGLE TREATMENT CENTER LLC
Active
Organization
EAGLE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE GOODALL (OWNER)
(623) 800-9688
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 230&240, PHOENIX, AZ 85015-5947
(623) 800-9688
Mailing address
2920 N 24TH AVE STE 230&240, PHOENIX, AZ 85015-5947
(623) 800-9688
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
10/28/2022
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