# THE YOUTH ACADEMY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Youth Academy Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497825723
- **Authorized official:** CURTIS WILLIAM BOSTON SR. PASTOR (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (843) 382-5927

## Contact information

- **Practice address:** 237 LELA HARRISON ROAD, KINGSTREE, SC 29556
- **Practice address phone:** (843) 382-5927
- **Practice address fax:** (843) 382-5826
- **Mailing address:** POST OFFICE BOX 174, KINGSTREE, SC 29556
- **Mailing address phone:** (843) 382-5927
- **Mailing address fax:** (843) 382-5826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020