Greater Lakes Mental Healthcare

LBN: Greater Lakes Mental Health Foundation Inc
Greater Lakes Mental Healthcare is an health care organization with primary practice located at 9330 59Th Ave Sw , Lakewood WA 98499-2858. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Greater Lakes Mental Health Foundation Inc can be contacted via phone (253) 581-7020, or through Czerwinski, William Glenn via phone (253) 620-5134.

Contact Information

Primary practice address
9330 59Th Ave Sw Lakewood WA 98499-2858
Phone: (253) 581-7020
Fax: (253) 620-5149
Website:
Map and Directions
Authorized official contact:
Name: Czerwinski, William Glenn
Phone: (253) 620-5134

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1225039811
LBN Legal business name Greater Lakes Mental Health Foundation Inc
DBA Doing business as Greater Lakes Mental Healthcare
Authorized official Czerwinski, William Glenn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225039811 NPPES
Washington MEDICAID 1043327

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