MOHICAN YOUTH ACADEMY LLC NPI 1801208582

NPI Information

NPI: 1801208582
Provider Name: MOHICAN YOUTH ACADEMY LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1012 ODNR MOHICAN 51
PERRYSVILLE, OH
ZIP 44864
Phone: (419) 994-0300
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MOHICAN YOUTH ACADEMY LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Perrysville, OH. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MOHICAN YOUTH ACADEMY LLC NPI is 1801208582. The provider is registered as an organization entity type.

The provider's business location address is:

1012 ODNR MOHICAN 51
PERRYSVILLE, OH
ZIP 44864-407
Phone: (419) 994-0300

The provider's authorized official is Wendy Bruno .
The authorized official title is Credentialing and has the following contact phone number (614) 556-4616.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 1/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	13519	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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