Young Star Academy
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Perrysville, OH
NPI 1477034528 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1477034528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- YOUNG STAR ACADEMY
- Practice address
- 1012 Odnr Mohican 51
Perrysville, OH 44864-9407 - Phone
- (419) 994-0300
- Fax
- (419) 994-0305
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Paula Rodriguez
- Title
- Administrative Assistant
- Phone
- (419) 994-0300
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Young Star Academy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone (419) 994-0300
Other providers in Perrysville, OH
- Melissa Jo Williamson
- James Wilson
- Jamison Wilson
- John T Wilson
- Cornelius Windham
- Young Star Academy
All providers in Perrysville, OH · Emotionally Disturbed Childrens' Residential Treatment Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.