| Mount Prospect Academy, Inc. | |
|
350 Main St Plymouth NH 03264-4518 | |
| (603) 536-1102 | |
| (603) 536-3074 |
| Full Name | Mount Prospect Academy, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 350 Main St, Plymouth, New Hampshire |
| Authorized Official Name and Position | Jay T Wolter (PRESIDENT) |
| Authorized Official Contact | 6033539102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Prospect Academy, Inc. Po Box 325 Orford NH 03777-0325 Ph: (603) 353-9102 | Mount Prospect Academy, Inc. 350 Main St Plymouth NH 03264-4518 Ph: (603) 536-1102 |
| NPI Number | 1720281264 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720281264 | NPI | - | NPPES |
| 30854897 | Medicaid | NH | |
| 30832240 | Medicaid | NH |
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