Organization
EATING DISORDER RECOVERY CENTER OF ATHENS, PC
Active
Organization
EATING DISORDER RECOVERY CENTER OF ATHENS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN WEITZMAN SWAIN PH. D. (OWNER)
(706) 552-0450
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
(706) 850-7211
Mailing address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
(706) 850-7211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY002033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111010A
—
GA
Enumeration date
06/20/2013
Last updated
06/20/2013
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