| NPI | 1497825723 |
|---|---|
| Doing Business As | YOUTH ACADEMY GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CURTIS WILLIAM BOSTON Chairman Of The Board 843-382-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |