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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