Organization
EATING DISORDERS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WEITZMAN-SWAIN PH.D. (DIRECTOR)
(706) 552-0450
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
Mailing address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00717318B
—
GA
Enumeration date
11/15/2006
Last updated
08/22/2020
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