LAKESIDE CENTER NPI 1841446804

NPI Information

LAKESIDE CENTER is a residential treatment facility emotionally disturbed children in Saint Louis, MO. The provider is 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. LAKESIDE CENTER NPI is 1841446804. The provider is registered as an organization entity type.

The provider's business location address is:

13044 MARINE AVE
SAINT LOUIS, MO
ZIP 63146-118
Phone: (314) 434-4535
Fax: (314) 434-9157

The provider's authorized official is Rich Swinger .
The authorized official title is Treatment Director and has the following contact phone number (314) 434-4535.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 8/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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