| Organization Name: | EAGLE ADVANCEMENT INSTITUTE |
| NPI Number: | 1053722280 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES WILLIAM CARPENTER (DIRECTOR) |
| Mailing Address: | 7091 Orchard Lake Rd Suite 200 West Bloomfield |
| State: | MI US |
| Postal Code: | 483223654 |
| Phone Number: | 2485627284 |
| Fax Number: | 2487071081 |
| NPI Enumeration Date: | 05/09/2014 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 276400000X |
| License Number: | SA0631360 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation, Substance Use Disorder Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |