Whalio Doctors

NPI 1477391266

Lakeside Health Solutions

Organisation Mental Illness Community Based Residential Treatment Facility Stillwater, MN

Practice location

Address
13199 Dellwood Rd N, Stillwater, MN 55082
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 (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1477391266
Entity type
Organization
NPI issued
17 Jul 2024
Record last updated
25 Jun 2025

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.