Organization
ERC INSIGHT
Active
Parent organization
EATING RECOVERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EATING RECOVERY CENTER
Authorized official
EDEN NEWMARK LCSW (CLINICAL DIRECTOR)
(773) 383-4817
Entity
Organization
Contact information
Practice address
200 E OHIO ST, CHICAGO, IL 60611-7269
(773) 572-8386
Mailing address
421 W BARRY AVE, APT 203, CHICAGO, IL 60657-5545
(773) 383-4817
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
149.017861
IL
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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