Greater Lakes
NPI #1972897320 in Lakewood, Washington
Provider Information
- NPI Number
- 1972897320
- Entity Type
- Organization
- Organization Name
- Greater Lakes
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jun 2, 2011
- Last Updated
- Jun 2, 2011
Practice Location
- Address
- 9330 59TH AVE SW
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98499-2858
- Phone
- (253) 620-5015
Authorized Official
- Name
- MR. BRIAN L NICHOLSON, BSN
- Title
- RN
- Phone
- (253) 620-5015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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