Provider Demographics
NPI:1184680175
Name:E.R.I.C. FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:E.R.I.C. FAMILY SERVICES, INC.
Other - Org Name:E.R.I.C. GROUP HOME ONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURREN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:773-745-3742
Mailing Address - Street 1:6120 W NORTH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3901
Mailing Address - Country:US
Mailing Address - Phone:773-745-3742
Mailing Address - Fax:773-754-0655
Practice Address - Street 1:6120 W NORTH AVE
Practice Address - Street 2:STE 202
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3901
Practice Address - Country:US
Practice Address - Phone:773-745-3742
Practice Address - Fax:773-754-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL244670322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children