National Provider Identifier Database

MOUNT PROSPECT ACADEMY INC
Residential Treatment Facility, Emotionally Disturbed Children

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.


Contact Information

MOUNT PROSPECT ACADEMY, INC.
350 MAIN ST
PLYMOUTH, NH03264-4518
Phone: 603-536-1102
Fax: 603-536-3074
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Community/Behavioral Health 251S00000X
In Home Supportive Care 253Z00000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for MOUNT PROSPECT ACADEMY, INC.

NPI Number 1720281264
Legal business name
LBN
MOUNT PROSPECT ACADEMY, INC.
Authorized official JAY WOLTER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/11/2007
Last updated 08/20/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NH Medicaid: 30832240
  • NH Medicaid: 30854897

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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