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Organization
EATING RECOVERY CENTER OF WASHINGTON
Active
Organization
EATING RECOVERY CENTER OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT CROCKETT MSW MHA (PRESIDENT)
(425) 451-1134
Entity
Organization
Contact information
Practice address
1601 114TH AVE SE, BELLEVUE, WA 98004-6950
(425) 451-8501
Mailing address
4130 JASPERWOOD CT, COLORADO SPRINGS, CO 80920-6620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60617943
WA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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