Ryan Rehabilitation

LBN: James M Ryan
Ryan Rehabilitation is an health care organization with primary practice located at 19586 Club House Rd , Montgomery Village MD 20886-3002. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. James M Ryan can be contacted via phone (301) 258-7771, or through Asbury, Tracy via phone (301) 942-9773.

Contact Information

Primary practice address
19586 Club House Rd Montgomery Village MD 20886-3002
Phone: (301) 258-7771
Fax: (301) 258-9078
Website:
Map and Directions
Authorized official contact:
Name: Asbury, Tracy
Phone: (301) 942-9773

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA372 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC1361 Maryland

Profile Details

NPI number 1790102531
LBN Legal business name James M Ryan
DBA Doing business as Ryan Rehabilitation
Authorized official Asbury, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2014
Last updated Mar 18th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790102531 NPPES
Maryland MEDICAID 415645500

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