EATING RECOVERY CENTER OF TEXAS NPI 1821279779

NPI Information

NPI: 1821279779
Provider Name: EATING RECOVERY CENTER OF TEXAS
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 45D2082087

Address:
250 E. BASSE RD
STE 206
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 826-7447
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EATING RECOVERY CENTER OF TEXAS is a psychiatric hospital in San Antonio, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. EATING RECOVERY CENTER OF TEXAS NPI is 1821279779. The provider is registered as an organization entity type.

The provider's business location address is:

250 E. BASSE RD
STE 206
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 826-7447
Fax: (210) 826-7440

The provider's authorized official is Marina Shepel .
The authorized official title is Contracting & Credentialing Manager and has the following contact phone number (425) 214-9321.

The CLIA number assigned to this NPI record is 45D2082087 - other - free standing php facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	TEXAS	No
2	261QM0850X	Clinic/Center	Adult Mental Health		No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		No
4	2084N0400X	Psychiatry & Neurology	Neurology		No
5	283Q00000X	Psychiatric Hospital			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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