NPI 1497937148

James Henry Miller

Practitioner Mental Illness Community Based Residential Treatment Facility Lakewood, WA

Practice location

Address: 9108 Lakewood Dr SW, Lakewood, WA 98499-3949
Phone: (253) 581-6202
Fax: (253) 581-6196
Mailing address: 19328 104th Avenue CT E, Graham, WA 98338-6459

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence RC00011927 (WA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Washington →

Registry record

NPI: 1497937148
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2007
Record last updated: 4 Dec 2007

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.