Organization
MOUNT PROSPECT ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY T WOLTER (PRESIDENT)
(603) 353-9102
Entity
Organization
Contact information
Practice address
350 MAIN ST, PLYMOUTH, NH 03264-4518
(603) 536-1102
(603) 536-3074
Mailing address
PO BOX 325, ORFORD, NH 03777-0325
(603) 353-9102
(603) 353-9412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30832240
—
NH
05
—
30854897
—
NH
Enumeration date
06/11/2007
Last updated
08/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us