SearchWashingtonMental Illness Community Based Residential Treatment Facility

James Miller

NPI 1497937148 · on the registry since 2007 · sole proprietor

Practice

Address
9108 Lakewood Dr Sw
Lakewood, WA 98499
Phone
(253) 581-6202
Fax
(253) 581-6196
Clinicians at this address
18

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington