Lakeside Crisis Stabilization
Lakeside Crisis Stabilization is an Emotionally Disturbed Childrens' Residential Treatment Facility in Bloomingdale, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
600 Dot Barn RdBloomingdale, GA 31302-9353
Phone: (912) 330-8335
Fax: (912) 330-8340
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X (GA) |
|---|
Record details
| NPI number | 1598848277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Li — Rha · (912) 356-2011 |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 600 Dot Barn Rd, Bloomingdale, GA 31302-9353 |