IndividualActive
James Miller
NPI 1497937148 · Mental Illness Community Based Residential Treatment Facility · Lakewood, WA
Provider details
- NPI number
- 1497937148
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- RC00011927 (WA)
Practice location
9108 Lakewood Dr Sw
Lakewood, WA 98499-3949
Phone: (253) 581-6202
Fax: (253) 581-6196
Mailing address
19328 104th Avenue Ct E
Graham, WA 98338-6459
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2007-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.