Organization · Type 2 NPI

William F Ryan Community Health Center Inc

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

NPI number 1366716680 Active

Practice location

483 W End Ave
New York, NY 10024-4340

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: 1366716680
Entity type: Organization (Type 2)
Issued: Mar 5, 2012
Last updated: Nov 19, 2015
Status: Active
Subpart: Yes of William F Ryan Community Health Center Inc

Other names

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West End Intergenerational Residence · other name

Authorized official

Brian McIndoe
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 1366716680

William F Ryan Community Health Center Inc's National Provider Identifier is 1366716680, issued on Mar 5, 2012. 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 Nov 19, 2015.