Whalio Doctors

NPI 1053249649

Lakeside Health Solutions

Organisation Mental Illness Community Based Residential Treatment Facility Stillwater, MN

Practice location

Address
9533 Otchipwe Ave N, Stillwater, MN 55082-8511
Phone
(833) 589-5150
Mailing address
30310 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1576

Authorised official

Name
Jeffrey Farbman
Title
Director of Billing
Phone
(949) 301-2863

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1053249649
Entity type
Organization
NPI issued
12 May 2026
Record last updated
12 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.