| NPI | 1134292501 |
|---|---|
| Doing Business As | LAKESIDE MILAM RECOVERY CENTERS |
| Entity Type | Organization |
| Authorized Contact | CARLTON M KESTER President 425-823-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WA 600487526) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |