# SHAWNEE ACADEMY. LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639255888
- **Authorized official:** ALDO CAVALLI (PRESIDENT)
- **Authorized official phone:** (570) 420-8601

## Contact information

- **Practice address:** 1RIVER ROAD, MINISINK HILLS, PA 18341
- **Practice address phone:** (570) 420-8601
- **Practice address fax:** (570) 420-0613
- **Mailing address:** PO BOX 338, SHAWNEE ON DELAWARE, PA 18356-0338
- **Mailing address phone:** (570) 420-8601
- **Mailing address fax:** (570) 420-0613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 1721 | NJ | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 213140 | PA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 213150 | PA | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020
