Residential Youth Care Inc in Ketchikan - Mental Health (including Community Mental Health Center)
Residential Youth Care Inc - NPI 1306909197
Residential Youth Care Inc is a Mental Health (including Community Mental Health Center) in Ketchikan, Alaska. Residential Youth Care Inc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Residential Youth Care Inc is 1306909197. The last update date is 2009-04-23.
Residential Youth Care Inc's current location address is 2514 1st Ave, Ketchikan, Alaska. You can contact this provider via phone number 9072254664 and fax number 9072474664. The mailing address for Residential Youth Care Inc is 2514 1st Ave, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Residential Youth Care Inc |
|---|---|
| Address | 2514 1st Ave, Ketchikan, Alaska |
| Phone Number | 9072254664 |
| Fax Number | 9072474664 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Duckworth Jack |
| Telephone Number | 9072254664 |
NPI Number Detail
| NPI Number | 1306909197 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2009-04-23 |
Provider Mailing Address Detail
| Address | 2514 1st Ave |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999015804 |
| Phone Number | 9072254664 |
| Fax Number | 9072474664 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BR00121 | AK | -- | |
| BR0012 | AK | -- | |
| MH9201 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Residential Youth Care Inc by the Centers for Medicare & Medicaid Services?
The Residential Youth Care Inc has been assigned the NPI (National Provider Identifier) 1306909197. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Residential Youth Care Inc is located?
The Residential Youth Care Inc is situated at the following address: 2514 1St Ave, Ketchikan, AK, 999015804.
What is Residential Youth Care Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Residential Youth Care Inc's specialized field of practice is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0801X.
On what date did the Residential Youth Care Inc receive its 1306909197 assignment from the Centers for Medicare & Medicaid Services?
The Residential Youth Care Inc was assigned its 1306909197 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date was the information regarding Residential Youth Care Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Residential Youth Care Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-23.