Provider Demographics
NPI:1477739175
Name:SPAULDING ACADEMY & FAMILY SERVICES
Entity Type:Organization
Organization Name:SPAULDING ACADEMY & FAMILY SERVICES
Other - Org Name:SPAULDING YOUTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXE. DIRECTOR OF FAMILY SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMPAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA
Authorized Official - Phone:603-286-8901
Mailing Address - Street 1:72 SPAULDING RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03276-4608
Mailing Address - Country:US
Mailing Address - Phone:603-286-8901
Mailing Address - Fax:603-286-8650
Practice Address - Street 1:72 SPAULDING RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03276-4608
Practice Address - Country:US
Practice Address - Phone:603-286-8901
Practice Address - Fax:603-286-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251S00000XAgenciesCommunity/Behavioral Health