LAKESIDE MILAM RECOVERY CENTERS – NPI #1134292501
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LAKESIDE MILAM RECOVERY CENTERS is a substance abuse rehabilitation facility located in SEATTLE, WA. NPPES has assigned the NPI number 1134292501 to LAKESIDE MILAM RECOVERY CENTERS on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESIDE MILAM RECOVERY CENTERS” is a dba name, the actual legal business name for this organization is LAKESIDE RECOVERY CENTERS INC. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE MILAM RECOVERY CENTERS below.

NPI Profile for
LAKESIDE RECOVERY CENTERS INC

NPI Number
1134292501
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE RECOVERY CENTERS INC
Doing Business As (dba): LAKESIDE MILAM RECOVERY CENTERS
Primary location
12845 AMBAUM BLVD SW
SEATTLE, WA 98146
Phone: (206) 241-0890 Fax: (206) 241-0769
Mailing address
10322 NE132ND ST
KIRKLAND, WA 98034
Phone: (425) 823-3116 Fax: (425) 823-3132
Organization Subpart
No
Authorized Official
CARLTON KESTER
PRESIDENT
Phone: (425) 823-3116
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.