Organization Name: | KEY BEHAVIOR ESSENTIALS LLC |
NPI Number: | 1003287756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOHER RICHARD KEY (CEO) |
Mailing Address: | 2400 Poplar Ave 350 Memphis |
State: | TN US |
Postal Code: | 381123213 |
Phone Number: | 5044910774 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1000000017136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |