Opioid & Alcohol Addiction Clinic | |
4928 109th St Sw Lakewood WA 98499-3731 | |
(253) 332-2958 | |
Not Available |
Full Name | Opioid & Alcohol Addiction Clinic |
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Speciality | Community/behavioral Health |
Location | 4928 109th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Bopha Kreuk (OWNER) |
Authorized Official Contact | 2536326348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Opioid & Alcohol Addiction Clinic Po Box 6015 Federal Way WA 98063-6015 Ph: (253) 332-2958 | Opioid & Alcohol Addiction Clinic 4928 109th St Sw Lakewood WA 98499-3731 Ph: (253) 332-2958 |
NPI Number | 1548770704 |
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Provider Enumeration Date | 10/02/2017 |
Last Update Date | 10/02/2017 |
Identifier | Type | State | Issuer |
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1548770704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |