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Residential Youth Care Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Ketchikan, Alaska
NPI 1306909197

Residential Youth Care Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Ketchikan, AK. Residential Youth Care Inc practices in Ketchikan, AK. The NPI Number for Residential Youth Care Inc is 1306909197 and holds a License No. (Alaska).

The current practice location address for Residential Youth Care Inc is 2514 1St Ave, Ketchikan, AK and can be reached out via phone at 907-225-4664 and via fax at 907-247-4664. You can also correspond with Residential Youth Care Inc through the mailing address at 2514 1ST AVE, KETCHIKAN, AK - 99901-5804 (mailing address contact number: 907-225-4664).

Location: 2514 1St Ave, Ketchikan, AK, 99901-5804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306909197
Provider Name
Residential Youth Care Inc
Credential
Provider Entity Type
Organization
Address
2514 1St Ave, Ketchikan, AK, 99901-5804
Phone Number
907-225-4664
Fax Number
907-247-4664
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
BR00121 05 AK
BR0012 05 AK
MH9201 05 AK
institution
Provider Business Practice Location Address Details
Address
2514 1St Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
907-247-4664
person
Provider Business Mailing Address Details
Address
2514 1St Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
907-247-4664
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
(Alaska)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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