Lakeside Recovery Centers Inc

Organization Active NPI Substance Abuse Rehabilitation Facility · Kirkland, WA

NPI 1417020355 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1417020355
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
LAKESIDE RECOVERY CENTERS INC
Practice address
10322 NE 132ND St
Kirkland, WA 98034
Phone
(425) 823-3116
Fax
(425) 823-3132
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

Name
Mr. Carlton M Kester
Title
President
Phone
(425) 823-3116

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Lakeside Milam Recovery Centers (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X WA Yes

Addresses

Primary practice location

10322 NE 132ND St
Kirkland, WA 98034

Mailing address

10322 NE 132ND St
Kirkland, WA 98034
Phone (425) 823-3116

Other names

  • Lakeside Milam Recovery Centers Doing business as

Other providers in Kirkland, WA

All providers in Kirkland, WA · Substance Abuse Rehabilitation Facility in Washington

Sources for this page

Verify at the official NPI Registry.