| NPI | 1467285163 |
|---|---|
| Doing Business As | LAKE BURIEN TRANSITIONAL CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | GREGORY PARADA Executive Medical Officer, Lake Bur 360-890-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |