Organization
EAGER MIND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL LUSTER (OWNER)
(571) 303-9044
Entity
Organization
Contact information
Practice address
950 N WASHINGTON ST, ALEXANDRIA, VA 22314-2393
(571) 303-9044
Mailing address
107 S WEST ST STE 116, ALEXANDRIA, VA 22314-2824
(571) 303-9044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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