# SOBER LIVING BY KEYES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164877759
- **Authorized official:** KERROULLIO TOUSSAINT (OWNER)
- **Authorized official phone:** (561) 889-1027

## Contact information

- **Practice address:** 634 EVERGREEN DR, LAKE PARK, FL 33403-3208
- **Practice address phone:** (561) 889-1027
- **Mailing address:** 2835 N MILITARY TRL, UNIT E, WEST PALM BEACH, FL 33409-2625
- **Mailing address phone:** (561) 889-1027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016