Organization · NPI-2
Eagle Behavioral Healthcare Services INC
Community/Behavioral Health · Lawrence, MA
NPI number1144837162
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1144837162
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Behavioral Healthcare Services INC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2020
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
360 Merrimack St Ste 154Lawrence, MA 01843-1740
Phone 978-866-5811
Mailing address
360 Merrimack St Ste 154Lawrence, MA 01843-1740
Phone 978-866-5811
Authorized official
Mary Hilton
Ceo
9788665811
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