Organization · Type 2 NPI

William F Ryan Community Health Center Inc

Mental Illness Community Based Residential Treatment Facility · New York, NY

NPI number 1205280955 Active

Practice location

22 Convent Ave
New York, NY 10027-2604

Fax (212) 932-8323

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	7002243R (NY)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1205280955
Entity type: Organization (Type 2)
Issued: Apr 19, 2016
Last updated: Sep 11, 2024
Status: Active
Subpart: Yes of William F Ryan Community Health Center Inc

Other names

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Convent Residence · other name

Authorized official

Jose Virella
Chief Financial Officer
(212) 316-7906

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205280955

William F Ryan Community Health Center Inc's National Provider Identifier is 1205280955, issued on Apr 19, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2024.