OrganizationActive
Lakeside Crisis Stabilization
NPI 1598848277 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bloomingdale, GA
Provider details
- NPI number
- 1598848277
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Li, Rha(912) 356-2011
Specialties & taxonomies
Residential Treatment Facilities
Practice location
600 Dot Barn Rd
Bloomingdale, GA 31302-9353
Phone: (912) 330-8335
Fax: (912) 330-8340
Approximate (ZIP-level) locationGet directions
Mailing address
600 Dot Barn Rd
Bloomingdale, GA 31302-9353
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.