Mohican Youth Academy LLC
NPI #1801208582 in Perrysville, Ohio
Provider Information
- NPI Number
- 1801208582
- Entity Type
- Organization
- Organization Name
- Mohican Youth Academy LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- May 29, 2014
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 1012 ODNR MOHICAN 51
- City
- Perrysville
- State
- Ohio
- ZIP Code
- 44864-9407
- Phone
- (419) 994-0300
Authorized Official
- Name
- WENDY BRUNO
- Title
- CREDENTIALING
- Phone
- (614) 556-4616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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