Organization
CHRONIC CONDITION RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC S BALCAVAGE DC (CHIROPRACTOR/OWNER)
(610) 558-8920
Entity
Organization
Contact information
Practice address
17 REGENCY PLZ, GLEN MILLS, PA 19342-1000
(610) 558-8920
Mailing address
17 REGENCY PLZ, GLEN MILLS, PA 19342-1000
(610) 558-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AJ006290L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0880278000
IBC
—
Enumeration date
06/04/2006
Last updated
06/30/2016
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