# MOUNTAIN LAKE ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINDWOOD MEADOW, INC.
- **Other names:** Mountain Lake Children's Residence, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255507497
- **Legal business name:** WINDWOOD MEADOW, INC.
- **Authorized official:** CHRISTOPHER MARIANO (CEO)
- **Authorized official phone:** (518) 523-4300

## Contact information

- **Practice address:** 386 RIVER ROAD, LAKE PLACID, NY 12946
- **Practice address phone:** (518) 523-4300
- **Practice address fax:** (518) 523-5322
- **Mailing address:** 386 RIVER ROAD, LAKE PLACID, NY 12946
- **Mailing address phone:** (518) 523-4300
- **Mailing address fax:** (518) 523-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 02/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01949242 | — | NY |