NPI 1598848277

Lakeside Crisis Stabilization

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Bloomingdale, GA

Practice location

Address: 600 Dot Barn Rd, Bloomingdale, GA 31302-9353
Phone: (912) 330-8335
Fax: (912) 330-8340

Authorised official

Name: Charles Li
Title: Rha
Phone: (912) 356-2011

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Georgia →

Registry record

NPI: 1598848277
Entity type: Organization
NPI issued: 24 Oct 2006
Record last updated: 22 Aug 2020

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.