Organization
ERIC FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BRAINE MSW, LCSW (EXECUTIVE DIRECTOR)
(773) 745-3742
Entity
Organization
Contact information
Practice address
1900 N AUSTIN AVE, CHICAGO, IL 60639-5010
(773) 745-3742
(773) 745-0655
Mailing address
1900 N AUSTIN AVE, CHICAGO, IL 60639-5010
(773) 745-3742
(773) 745-0655
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
149003227
IL
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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