Provider Demographics
NPI:1841846946
Name:RYLIST, INC.
Entity type:Organization
Organization Name:RYLIST, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:155 E WILBUR RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-7935
Mailing Address - Country:US
Mailing Address - Phone:805-852-1267
Mailing Address - Fax:
Practice Address - Street 1:779 BRIAR CLIFF RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5130
Practice Address - Country:US
Practice Address - Phone:833-239-3552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA VENTANA TREATMENT PROGRAMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-14
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA197690039OtherDEPT OF SOCIAL SERVICES