# EATING RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396593463
- **Authorized official:** JESS JOSLIN (INSURANCE CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (918) 766-8217

## Contact information

- **Practice address:** 8199 E 1ST AVE, DENVER, CO 80230-7163
- **Practice address phone:** (877) 825-8584
- **Mailing address:** PO BOX 561481, DENVER, CO 80256-1481
- **Mailing address phone:** (877) 825-8584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024