Provider Demographics
NPI:1811904394
Name:WHITNEY ACADEMY, INC.
Entity type:Organization
Organization Name:WHITNEY ACADEMY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:O'KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-763-3737
Mailing Address - Street 1:P.O. BOX 619
Mailing Address - Street 2:
Mailing Address - City:E. FREETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02717
Mailing Address - Country:US
Mailing Address - Phone:508-763-3737
Mailing Address - Fax:508-763-4200
Practice Address - Street 1:85 DR. BRALEY ROAD
Practice Address - Street 2:
Practice Address - City:E. FREETOWN
Practice Address - State:MA
Practice Address - Zip Code:02717
Practice Address - Country:US
Practice Address - Phone:508-763-3737
Practice Address - Fax:508-763-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1475569320600000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children