Provider First Line Business Practice Location Address:
8140 E 5TH AVENUE
Provider Second Line Business Practice Location Address:
EATING RECOVERY CENTER
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80230-6492
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-671-7393
Provider Business Practice Location Address Fax Number:
303-364-1812
Provider Enumeration Date:
03/20/2006