# LAKESIDE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841446804
- **Authorized official:** RICH SWINGER (TREATMENT DIRECTOR)
- **Authorized official phone:** (314) 434-4535

## Contact information

- **Practice address:** 13044 MARINE AVE, SAINT LOUIS, MO 63146-2118
- **Practice address phone:** (314) 434-4535
- **Practice address fax:** (314) 434-9157
- **Mailing address:** 13044 MARINE AVE, SAINT LOUIS, MO 63146-2118
- **Mailing address phone:** (314) 434-4535
- **Mailing address fax:** (314) 434-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | — | — |

## Other

- **Enumeration date:** 08/11/2008
- **Last updated:** 08/11/2008