Residential Youth Care, Inc.

LBN: Residential Youth Care, Inc.
Residential Youth Care, Inc. is an health care organization with primary practice located at 2442 Tongass Avenue , Ketchikan AK 99901. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Residential Youth Care, Inc. can be contacted via phone (907) 225-4664, or through Avila, Brooke Ann via phone (907) 617-6145.

Contact Information

Primary practice address
2442 Tongass Avenue Ketchikan AK 99901
Phone: (907) 225-4664
Fax: (907) 885-6613
Website:
Map and Directions
Authorized official contact:
Name: Avila, Brooke Ann
Phone: (907) 617-6145

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1992314215
LBN Legal business name Residential Youth Care, Inc.
DBA Doing business as
Authorized official Avila, Brooke Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992314215 NPPES
Alaska MEDICAID 1584706
Alaska MEDICAID 1021118

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