Organization
THE EAGLESNEST 3C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINETTE WILLIAMS D.MIN. (FOUNDER. CLINICAL DIRECTOR)
(417) 861-3965
Entity
Organization
Contact information
Practice address
743 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 861-3965
Mailing address
743 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 861-3965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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