NPI 1750618419

Lakeside for Children

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kalamazoo, MI

Practice location

Address: 3921 Oakland Dr, Kalamazoo, MI 49008-4819
Phone: (269) 381-4760

Authorised official

Name: Don Nitz
Title: Board Administrator
Phone: (269) 381-4760

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1750618419
Entity type: Organization
NPI issued: 17 Nov 2009
Record last updated: 17 Nov 2009

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.