| NPI | 1811327950 |
|---|---|
| Doing Business As | LAKESIDE ACADEMY OF KANSAS |
| Entity Type | Organization |
| Authorized Contact | MARY CAUDLE Senior Director Of Patient Accounts 256-880-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: KS 0063040-008) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2021-09-10 |