NPIMap

Organization Active NPI

Resilient Youth & Community (Ryc)

  • Community/Behavioral Health Agency
  • Ketchikan, AK
National Provider Identifier
1013512102
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESILIENT YOUTH & COMMUNITY (RYC)
Practice address
3955 S Tongass Hwy
Ketchikan, AK 99901-9623
Phone
(907) 312-7851
Fax
(866) 838-1861
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dustin Art Larna
Title
Ceo
Phone
(907) 220-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3955 S Tongass Hwy
Ketchikan, AK 99901-9623

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475
Phone (907) 225-4644

Other identifiers 1

IdentifierTypeStateIssuer
1021118MedicaidAK

Other names 1

  • Residential Youth Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Residential Youth Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3955 S Tongass Hwy
Ketchikan, AK 99901
Phone (907) 312-7851

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1013512102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7475",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999012475",
            "telephone_number": "907-225-4644",
            "fax_number": "907-885-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 S TONGASS HWY",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019623",
            "telephone_number": "907-312-7851",
            "fax_number": "866-838-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT YOUTH & COMMUNITY (RYC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LARNA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-220-7299"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021118",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Youth Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.