Mountainside Psychiatric Services
NPI #1518979434 in Lakewood, Washington
Provider Information
- NPI Number
- 1518979434
- Entity Type
- Organization
- Organization Name
- Mountainside Psychiatric Services
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Aug 25, 2008
Practice Location
- Address
- 10209 BRIDGEPORT WAY SW
- Address 2
- SUITE D 10
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98499-2320
- Phone
- (253) 460-9414
Authorized Official
- Name
- MRS. KATHLEEN HUGHES POTTER, MN, ARNP
- Title
- OWNER/OPERATOR
- Phone
- (253) 460-9414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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