NPI 1518324128

Lakeside Csu

Organisation Psychiatric Residential Treatment Facility Bloomingdale, GA

Practice location

Address: 600 Dot Barn Rd, Bloomingdale, GA 31302-9353
Phone: (912) 449-7109

Authorised official

Name: Michelle Simpson
Title: Billing Manager
Phone: (912) 449-7109

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Georgia →

Registry record

NPI: 1518324128
Entity type: Organization
NPI issued: 27 Jan 2016
Record last updated: 27 Jan 2016

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.