NPI 1346792835

Shortridge Academy

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milton, NH

Practice location

Address: 619 Governors Road, Milton, NH 03851-4757
Phone: (603) 403-2800
Fax: (310) 457-6318
Mailing address: 12424 Wilshire Blvd Suite 800, Los Angeles, CA 90025

Authorised official

Name: Jonathan Mark Monroe
Title: Cfo
Phone: (951) 334-2233

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1346792835
Entity type: Organization
NPI issued: 31 Oct 2016
Record last updated: 25 May 2023

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.