OrganizationActive
Mohican Youth Academy
NPI 1063926616 · Neurodevelopmental Disabilities Physician · Perrysville, OH
Provider details
- NPI number
- 1063926616
- Entity type
- Organization
- Primary specialty
- Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Wendy Bruno, Credentialing
Practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone: (419) 994-0300
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Registry dates
- Enumerated
- 2017-11-18
- Last updated
- 2017-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.