Provider Demographics
NPI:1639633050
Name:EAC SERVICES LLC
Entity Type:Organization
Organization Name:EAC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, EMORY AUTISM CENTER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-727-8350
Mailing Address - Street 1:1551 SHOUP CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4607
Mailing Address - Country:US
Mailing Address - Phone:404-727-8350
Mailing Address - Fax:404-727-3969
Practice Address - Street 1:1551 SHOUP CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4607
Practice Address - Country:US
Practice Address - Phone:404-727-8350
Practice Address - Fax:404-727-3969
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMORY UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1104299643OtherNPI NUMBER
GA1669744496OtherNPI NUMBER