Organization
KATHLEEN A. RYAN CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY EDWARD RYAN (PRESIDENT)
(814) 598-2431
Entity
Organization
Contact information
Practice address
301 BOLIVAR DR, BRADFORD, PA 16701-3133
(814) 598-2431
Mailing address
301 BOLIVAR DR, BRADFORD, PA 16701-3133
(814) 598-2431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS006006L
PA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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