Organization · Type 2 NPI

William F Ryan Community Health Center Inc

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

NPI number 1245684729 Active

Practice location

138 W 143rd St
New York, NY 10030-1615

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: 1245684729
Entity type: Organization (Type 2)
Issued: Apr 20, 2016
Last updated: Apr 20, 2016
Status: Active
Subpart: Yes of William F Ryan Community Health Center Inc

Other names

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West Harlem Residence · other name

Authorized official

Brian McIndoe
President & CEO
(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 1245684729

William F Ryan Community Health Center Inc's National Provider Identifier is 1245684729, issued on Apr 20, 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 Apr 20, 2016.