GREATER LAKES

LAKEWOOD, WA
NPI1972897320
Entity TypeOrganization
Authorized ContactBRIAN L NICHOLSON
RN
253-620-5015
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Enumeration Date2011-06-02
Last Update Date2011-06-02
Business Address
GREATER LAKES
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Mailing Address
GREATER LAKES
9330 59TH AVE SW
TACOMA, WA 98499-2858
Phone number:
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