Provider Demographics
NPI:1992160782
Name:EATING RECOVERY CENTER CALIFORNIA
Entity type:Organization
Organization Name:EATING RECOVERY CENTER CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BUSINESS SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-825-8589
Mailing Address - Street 1:770 TAMALPAIS DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1700
Mailing Address - Country:US
Mailing Address - Phone:916-574-1000
Mailing Address - Fax:916-574-1001
Practice Address - Street 1:770 TAMALPAIS DR
Practice Address - Street 2:SUITE 210
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1700
Practice Address - Country:US
Practice Address - Phone:916-574-1000
Practice Address - Fax:916-574-1001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EATING RECOVERY CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital