| Eating Disorder Recovery Center Of Athens, Pc | |
|
1 Huntington Rd Suite 801 Athens GA 30606-7204 | |
| (706) 552-0450 | |
| (706) 850-7211 |
| Full Name | Eating Disorder Recovery Center Of Athens, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Ann Weitzman Swain (OWNER) |
| Authorized Official Contact | 7065520450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Recovery Center Of Athens, Pc 1 Huntington Rd Suite 801 Athens GA 30606-7204 Ph: (706) 552-0450 | Eating Disorder Recovery Center Of Athens, Pc 1 Huntington Rd Suite 801 Athens GA 30606-7204 Ph: (706) 552-0450 |
| NPI Number | 1851730089 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Medicare PECOS PAC ID | 3779670229 |
|---|---|
| Medicare Enrollment ID | O20130723000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851730089 | NPI | - | NPPES |
| 003111010A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY002033 (Georgia) | Primary |
| Provider Name | Ann C Weitzman Swain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033281779 PECOS PAC ID: 6800990698 Enrollment ID: I20070404000231 |
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