| Resilient Youth & Community (ryc) | |
|
2514 First Ave Ketchikan AK 99901-5804 | |
| (907) 225-4664 | |
| (907) 885-6613 |
| Full Name | Resilient Youth & Community (ryc) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2514 First Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Dustin Art Larna (RYC CEO) |
| Authorized Official Contact | 9072207299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Youth & Community (ryc) Po Box 7475 Ketchikan AK 99901-2475 Ph: (907) 225-4664 | Resilient Youth & Community (ryc) 2514 First Ave Ketchikan AK 99901-5804 Ph: (907) 225-4664 |
| NPI Number | 1043836851 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043836851 | NPI | - | NPPES |
| 1021118 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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