Lakeside Crisis Stabilization
NPI #1598848277 in Bloomingdale, Georgia
Provider Information
- NPI Number
- 1598848277
- Entity Type
- Organization
- Organization Name
- Lakeside Crisis Stabilization
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 600 DOT BARN RD
- City
- Bloomingdale
- State
- Georgia
- ZIP Code
- 31302-9353
- Phone
- (912) 330-8335
Authorized Official
- Name
- CHARLES LI
- Title
- RHA
- Phone
- (912) 356-2011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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