| Doctor Name: | SARA RYAN |
| NPI Number: | 1285986604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 203 East St Easthampton, MA - 010271234 |
| Business Phone Number: | 4135297777 |
| Business Fax Number: | |
| Mailing Address: | 203 East St, EASTHAMPTON |
| State: | MA |
| Postal Code: | 010271234 |
| Phone Number: | 4135297777 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |