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Mountain Youth Academy
Emotionally Disturbed Childrens' Residential Treatment Facility in Mountain City, Tennessee
NPI 1083832117

Mountain Youth Academy is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mountain City, TN. Mountain Youth Academy practices in Mountain City, TN. The NPI Number for Mountain Youth Academy is 1083832117 and holds a License No. L237M21261695 (Tennessee).

The current practice location address for Mountain Youth Academy is 332 Hospital Rd, Mountain City, TN and can be reached out via phone at 423-727-9898 and via fax at 423-727-9899.

Location: 332 Hospital Rd, Mountain City, TN, 37683-4309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083832117
Provider Name
Mountain Youth Academy
Credential
Provider Entity Type
Organization
Address
332 Hospital Rd, Mountain City, TN, 37683-4309
Phone Number
423-727-9898
Fax Number
423-727-9899
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
332 Hospital Rd
City
Mountain City
State
Tennessee
Zip
37683-4309
Phone Number
423-727-9898
Fax Number
423-727-9899
person
Provider Business Mailing Address Details
Address
332 Hospital Rd
City
Mountain City
State
Tennessee
Zip
37683-4309
Phone Number
423-727-9898
Fax Number
423-727-9899
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
L237M21261695 (Tennessee)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
L237M21261695 (Tennessee)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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