# EATING RECOVERY CENTER OF WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EATING RECOVERY CENTER OF WA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871044867
- **Legal business name:** EATING RECOVERY CENTER OF WA
- **Authorized official:** MARINA SHEPEL (CREDENTIALING MANAGER)
- **Authorized official phone:** (206) 383-4781

## Contact information

- **Practice address:** 1601 114TH AVE SE, SUITE \#180, BELLEVUE, WA 98004-6950
- **Practice address phone:** (425) 451-1134
- **Mailing address:** 1601 114TH AVE SE, SUITE \#180, BELLEVUE, WA 98004-6950
- **Mailing address phone:** (425) 451-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 10/14/2016