Whalio Doctors

NPI 1245398908

Sequel Schools LLC Dba Kingston Academy

Organisation Psychiatric Residential Treatment Facility Kingston, TN

Practice location

Address
183 Fiddler's Lane, Kingston, TN 37763-4020
Phone
(865) 376-2296
Fax
(865) 376-0369
Mailing address
1131 Eagletree Lane, Huntsville, AL 35801-6478

Authorised official

Name
Russell Lee Hembree
Title
Executive Director
Phone
(865) 376-2296

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence L000000008435 (TN)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence L 2(37)M3-016-1155 (TN)

Registry record

NPI
1245398908
Entity type
Organization
NPI issued
5 Dec 2006
Record last updated
8 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.