Organization · Type 2 NPI

Lakeside Center

Emotionally Disturbed Childrens' Residential Treatment Facility · St. Louis, MO

NPI number 1841446804 Active

Practice location

13044 Marine Ave
St. Louis, MO 63146-2118

Fax (314) 434-9157

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed
Children's Substance Abuse Rehabilitation Facility	3245S0500X	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.

2 other providers at this address

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About NPI 1841446804

Lakeside Center's National Provider Identifier is 1841446804, issued on Aug 11, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 11, 2008.