Organization
EATING RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JOSLIN (INSURANCE CREDENTIALING SUPERVISOR)
(918) 766-8217
Entity
Organization
Contact information
Practice address
8199 E 1ST AVE, DENVER, CO 80230-7163
(877) 825-8584
Mailing address
PO BOX 561481, DENVER, CO 80256-1481
(877) 825-8584
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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