| NPI | 1750304044 |
|---|---|
| Doing Business As | MOUNTAIN YOUTH ACADEMY |
| Entity Type | Organization |
| Authorized Contact | PAUL KIRKHAM Administrator 423-727-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN L237M20661497) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-09-30 |