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Organization
MOUNTAIN LAKE ACADEMY
Active
Organization
MOUNTAIN LAKE ACADEMY
Active
Parent organization
WINDWOOD MEADOW, INC.
Other names
Mountain Lake Children's Residence, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDWOOD MEADOW, INC.
Authorized official
CHRISTOPHER MARIANO (CEO)
(518) 523-4300
Entity
Organization
Contact information
Practice address
386 RIVER ROAD, LAKE PLACID, NY 12946
(518) 523-4300
(518) 523-5322
Mailing address
386 RIVER ROAD, LAKE PLACID, NY 12946
(518) 523-4300
(518) 523-5322
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01949242
—
NY
Enumeration date
05/07/2008
Last updated
02/06/2025
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