IndividualActive
John Ryll
NPI 1720354558 · Emotionally Disturbed Childrens' Residential Treatment Facility · Plymouth, MA
Provider details
- NPI number
- 1720354558
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 322D00000X (MA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 322D00000X (MA)
Residential Treatment Facilities
Practice location
900 Ship Pond Rd
Plymouth, MA 02360-1849
Phone: (617) 686-7901
Approximate (ZIP-level) locationGet directions
Mailing address
900 Ship Pond Rd
Plymouth, MA 02360-1849
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.