| Organization Name: | RESIDENTIAL YOUTH CARE INC |
| NPI Number: | 1306909197 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK DUCKWORTH (DIRECTOR) |
| Mailing Address: | 2514 1st Ave Ketchikan |
| State: | AK US |
| Postal Code: | 999015804 |
| Phone Number: | 9072254664 |
| Fax Number: | 9072474664 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |