Provider Demographics
NPI:1326424607
Name:RYLIST INC
Entity Type:Organization
Organization Name:RYLIST INC
Other - Org Name:LA VENTANA TREATMENT PROGRAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-852-1267
Mailing Address - Street 1:1408 E THOUSAND OAKS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2889
Mailing Address - Country:US
Mailing Address - Phone:833-239-3552
Mailing Address - Fax:805-777-9226
Practice Address - Street 1:1771 COUNTRY OAKS LN
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-1922
Practice Address - Country:US
Practice Address - Phone:805-777-3873
Practice Address - Fax:805-777-9226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility