Organization
EATING RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN MARY WATSON LCPC (PRIMARY THERAPIST II)
(312) 964-4617
Entity
Organization
Contact information
Practice address
150 E HURON ST, SUITE 1200, CHICAGO, IL 60611-2999
(312) 964-4617
Mailing address
2300 N LINCOLN PARK W, UNIT 1212, CHICAGO, IL 60614-3456
(630) 649-8772
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
201543752
IL
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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