Lakeside Csu
Lakeside Csu is a Psychiatric Residential Treatment Facility in Bloomingdale, Georgia. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
600 Dot Barn RdBloomingdale, GA 31302-9353
Phone: (912) 449-7109
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X |
|---|
Record details
| NPI number | 1518324128 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Simpson — Billing Manager · (912) 449-7109 |
| NPI enumerated | January 27, 2016 |
| Last updated in NPPES | January 27, 2016 |
| Mailing address | 600 Dot Barn Rd, Bloomingdale, GA 31302-9353 |