Provider Demographics
NPI:1609240910
Name:EATING RECOVERY CENTER-THE CAROLINAS
Entity Type:Organization
Organization Name:EATING RECOVERY CENTER-THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BUSINESS SERVICES OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-825-8572
Mailing Address - Street 1:12 MAPLE TREE COURT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4079
Mailing Address - Country:US
Mailing Address - Phone:864-271-0975
Mailing Address - Fax:864-241-9001
Practice Address - Street 1:12 MAPLE TREE COURT
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4079
Practice Address - Country:US
Practice Address - Phone:864-271-0975
Practice Address - Fax:864-241-9001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EATING RECOVERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283Q00000XHospitalsPsychiatric Hospital
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty