Organization
LAKESIDE RECOVERY CENTERS INC
Active
Other names
Lakeside Milam Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON M KESTER (PRESIDENT)
(425) 823-3116
Entity
Organization
Contact information
Practice address
12845 AMBAUM BLVD SW, SEATTLE, WA 98146
(206) 241-0890
(206) 241-0769
Mailing address
10322 NE132ND ST, KIRKLAND, WA 98034
(425) 823-3116
(425) 823-3132
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
WA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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