Organization
LAKESIDE HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
12178 ARCOLA TRL N, STILLWATER, MN 55082-9526
(833) 589-5150
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
07/08/2024
Last updated
06/25/2025
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