Organization · Type 2 NPI
Lakeside Crisis Stabilization
Emotionally Disturbed Childrens' Residential Treatment Facility · Bloomingdale, GA
Practice location
600 Dot Barn Rd
Bloomingdale, GA 31302-9353
Fax (912) 330-8340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1598848277
Lakeside Crisis Stabilization's National Provider Identifier is 1598848277, issued on Oct 24, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bloomingdale, GA. The record was last updated on Aug 22, 2020.