| NPI | 1972940880 |
|---|---|
| Doing Business As | KENBRIDGE YOUTH ACADEMY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA HAMILTON Chief Administrative Officer 454-676-1378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 2136-14-001) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 2139) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-06-06 |