OrganizationActive
Mohican Youth Academy LLC
NPI 1801208582 · Children's Substance Abuse Rehabilitation Facility · Perrysville, OH
Provider details
- NPI number
- 1801208582
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wendy Bruno, Credentialing(614) 556-4616
- License
- 13519 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone: (419) 994-0300
Approximate (ZIP-level) locationGet directions
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2018-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.