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Contact Information

LAKESIDE RECOVERY CENTERS INC
12845 AMBAUM BLVD SW
SEATTLE, WA98146
 Phone: 206-241-0890
 Fax: 206-241-0769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for LAKESIDE RECOVERY CENTERS INC

NPI Number 1134292501
LBN Legal business name LAKESIDE RECOVERY CENTERS INC
Authorized official CARLTON KESTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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