| NPI | 1902825151 |
|---|---|
| Doing Business As | NATCHEZ TRACE YOUTH ACADEMY |
| Entity Type | Organization |
| Authorized Contact | TOM HENNESSEY Administrator 931-296-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN SO09869A) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |