NPI | 1306909197 |
---|---|
Former Legal Business Name | RESIDENTIAL YOUTH CARE |
Entity Type | Organization |
Authorized Contact | DUSTIN ART LARNA CEO 907-220-7299 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2006-12-19 |
Last Update Date | 2025-06-03 |