Organization
SUMMIT PSYCHOTHERAPY ASSOCIATES, PC
Active
Parent organization
SUMMIT PSYCHOTHERAPY ASSOCIATES, PC
Other names
Eating Recovery Center of California
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT PSYCHOTHERAPY ASSOCIATES, PC
Authorized official
MARINA SHEPEL (CONTRACTING AND CREDENTIALING MANAG)
(425) 214-9321
Entity
Organization
Contact information
Practice address
114 PACIFICA, STE #450, IRVINE, CA 92618
(877) 825-8584
Mailing address
PO BOX 561482, DENVER, CO 80256-1482
(877) 825-8584
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
04/12/2022
Last updated
06/09/2022
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