| Eagles Nest Of Gastonia | |
|
3908 S New Hope Rd Gastonia NC 28056-8450 | |
| (980) 522-7724 | |
| Not Available |
| Full Name | Eagles Nest Of Gastonia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3908 S New Hope Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Gwendolyn Gavin (OWNER) |
| Authorized Official Contact | 9805227724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Nest Of Gastonia Po Box 163 Gastonia NC 28053-0163 Ph: () - | Eagles Nest Of Gastonia 3908 S New Hope Rd Gastonia NC 28056-8450 Ph: (980) 522-7724 |
| NPI Number | 1750652301 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750652301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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