1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Community Behavioral Health
  6. NPI Profile

OPIOID & ALCOHOL ADDICTION CLINIC
NPI 1548770704
Community/Behavioral Health in Lakewood, WA

Active since October 02, 2017
4928 109TH ST SW, LAKEWOOD, WA 98499(253) 332-2958 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Opioid & Alcohol Addiction Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPIOID & ALCOHOL ADDICTION CLINIC (NPI 1548770704) is a healthcare organization registered as a community/behavioral health in Lakewood, Washington and active in the NPI registry since October 2017. The organization lists Bopha Kreuk, Owner, as its authorized official.

NPPES Registry Identity

NPI1548770704
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOPIOID & ALCOHOL ADDICTION CLINIC
Location Address4928 109TH ST SWLakewood, WA 98499-3731
Mailing AddressPo Box 6015Federal Way, WA 98063-6015 · (253) 332-2958 · Fax (253) 838-4145
Phone(253) 332-2958
Organization SubpartNo
Authorized OfficialBopha KreukOwner · (253) 632-6348
Enumeration DateOctober 2, 2017
✔ NPI 1548770704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4928 109TH ST SW, Lakewood, WA 98499
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRANDI NICOLE KITCHEN-LOEWEN CDPT
Counselor (Addiction (Substance Use Disorder))
4928 109TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 473-7474
RENEE MICHELLE CLINE CO 60971093
Counselor (Addiction (Substance Use Disorder))
4928 109TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 473-7474
JOSEPH LEEON WILLIAMS CDPT #60749539
Counselor (Addiction (Substance Use Disorder))
4928 109TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 473-7474
JESSICA LARREINAGA CO60972165
Counselor (Addiction (Substance Use Disorder))
4928 109TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 473-7474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Opioid & Alcohol Addiction Clinic's NPI number?

The NPI number for Opioid & Alcohol Addiction Clinic is 1548770704. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Opioid & Alcohol Addiction Clinic located?

Opioid & Alcohol Addiction Clinic is located at 4928 109th St SW, Lakewood, WA 98499. The listed phone number is (253) 332-2958.

What is Opioid & Alcohol Addiction Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Opioid & Alcohol Addiction Clinic was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.