Whalio Doctors

NPI 1134292501

Lakeside Recovery Centers INC

Organisation Children's Substance Abuse Rehabilitation Facility Seattle, WA

Practice location

Address
12845 Ambaum Blvd SW, Seattle, WA 98146
Phone
(206) 241-0890
Fax
(206) 241-0769
Mailing address
10322 Ne132nd St, Kirkland, WA 98034

Authorised official

Name
Carlton M Kester
Title
President
Phone
(425) 823-3116

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1134292501
Entity type
Organization
NPI issued
15 Nov 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.