NPI 1467285163
Department of Social and Health Services
Practice location
- Address
- 1043 SW 152nd St, Burien, WA 98166
- Phone
- (206) 690-3800
Authorised official
- Name
- Gregory Parada
- Title
- Executive Medical Officer, Lake Bur
- Phone
- (360) 890-5717
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1467285163
- Entity type
- Organization
- NPI issued
- 20 Aug 2024
- Record last updated
- 20 Aug 2024
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.