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Organization
SEQUEL SCHOOLS LLC DBA KINGSTON ACADEMY
Active
Organization
SEQUEL SCHOOLS LLC DBA KINGSTON ACADEMY
Active
Other names
Camelot of Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LEE HEMBREE BA (EXECUTIVE DIRECTOR)
(865) 376-2296
Entity
Organization
Contact information
Practice address
183 FIDDLER'S LANE, KINGSTON, TN 37763-4020
(865) 376-2296
(865) 376-0369
Mailing address
1131 EAGLETREE LANE, HUNTSVILLE, AL 35801-6478
(256) 880-3339
(256) 880-7026
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
L 2(37)M3-016-1155
TN
323P00000X
Psychiatric Residential Treatment Facility
Primary
L000000008435
TN
Other
Enumeration date
12/05/2006
Last updated
09/08/2011
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