NPI 1265748388

Greater Lakes Mental Health

Organisation Health Maintenance Organization Lakewood, WA

Practice location

Address: 9330 59th Ave SW, Lakewood, WA 98499-2858
Phone: (253) 620-5014
Fax: (253) 620-5831

Authorised official

Name: Renee Johnson
Title: Staff
Phone: (253) 620-5014

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence CG 60158344 (WA)

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Registry record

NPI: 1265748388
Entity type: Organization
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 2010

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.