Organization
YOUNG STAR ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA STARR MBA, CFBS, CHFC (EXECUTIVE DIRECTOR)
(614) 406-1877
Entity
Organization
Contact information
Practice address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864
(419) 994-0300
(419) 994-0305
Mailing address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864
(419) 994-0300
(419) 994-0305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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