| Ryan's Place, Llc | |
|
9715 Northeast Pkwy Ste 100 Matthews NC 28105-9708 | |
| (980) 339-5676 | |
| Not Available |
| Full Name | Ryan's Place, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9715 Northeast Pkwy Ste 100, Matthews, North Carolina |
| Authorized Official Name and Position | Luis Ariel Hernandez (CEO/OWNER) |
| Authorized Official Contact | 9803395676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan's Place, Llc 9715 Northeast Pkwy Ste 100 Matthews NC 28105-9708 Ph: (980) 339-5676 | Ryan's Place, Llc 9715 Northeast Pkwy Ste 100 Matthews NC 28105-9708 Ph: (980) 339-5676 |
| NPI Number | 1841809746 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841809746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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