| NPI | 1245787324 |
|---|---|
| Doing Business As | LAVA HEIGHTS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | MANDY MOSES Chief Program Officer/EVP 256-880-3339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-10-16 |