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EATING RECOVERY CENTER OF OHIO LLC NPI 1366830499


NPI Information

NPI: 1366830499
Provider Name: EATING RECOVERY CENTER OF OHIO, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 36D2110557

Address:
3805 EDWARDS RD
SUITE 400
CINCINNATI, OH
ZIP 45209
Phone: (312) 540-9955
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EATING RECOVERY CENTER OF OHIO, LLC is a mental health (including community mental health center) clinic center in Cincinnati, OH. EATING RECOVERY CENTER OF OHIO, LLC NPI is 1366830499. The provider is registered as an organization entity type.

The provider's business location address is:

3805 EDWARDS RD
SUITE 400
CINCINNATI, OH
ZIP 45209-900
Phone: (312) 540-9955
Fax: (312) 540-0944

The provider's authorized official is Cindy R Brom .
The authorized official title is Senior Director and has the following contact phone number (773) 321-2848.

The CLIA number assigned to this NPI record is 36D2110557 - other - behavioral health fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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