| Organization Name: | CROSS KEYS COUNSELING CENTER, INC. |
| NPI Number: | 1043369077 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORIS WOODRUFF HEWITT (DIRECTOR OF THERAPY SERVICES) |
| Mailing Address: | 1035 Main St Forest Park |
| State: | GA US |
| Postal Code: | 302971441 |
| Phone Number: | 4043663420 |
| Fax Number: | 4046081365 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |