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Organization
RYAN'S PLACE INC
Active
Organization
RYAN'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSY K DIENER-LOCKE LSW (PROGRAM DIRECTOR)
(574) 535-1000
Entity
Organization
Contact information
Practice address
118 S MAIN ST STE 3, GOSHEN, IN 46526-3702
(574) 535-1000
Mailing address
PO BOX 73, GOSHEN, IN 46527-0073
(574) 535-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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