Provider Demographics
NPI:1093105074
Name:TRAILS ACADEMY LLC
Entity Type:Organization
Organization Name:TRAILS ACADEMY LLC
Other - Org Name:FOUNDATIONS ASHEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PROGRAM DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-817-9520
Mailing Address - Street 1:555 SKY VALLEY CAMP RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739
Mailing Address - Country:US
Mailing Address - Phone:828-393-6322
Mailing Address - Fax:
Practice Address - Street 1:90 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-604-6570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRAILS ACADEMY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-29
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children