# EAGLE BEHAVIORAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356911465
- **Authorized official:** THERESA N ADIGWU CRNP (OWNER OF ENTITY)
- **Authorized official phone:** (717) 973-1108

## Contact information

- **Practice address:** 1007 N FRONT ST STE 2S, HARRISBURG, PA 17102-3320
- **Practice address phone:** (717) 973-1108
- **Practice address fax:** (717) 674-7696
- **Mailing address:** 1007 N FRONT ST STE 2S, HARRISBURG, PA 17102-3320
- **Mailing address phone:** (717) 973-1108
- **Mailing address fax:** (717) 674-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 09/20/2021