| NPI | 1124476643 |
|---|---|
| Doing Business As | MOUNTAIN YOUTH ACADEMY |
| Entity Type | Organization |
| Authorized Contact | ERIC DUNKERLY CEO 423-727-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN L000000017337) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |