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Organization
KELLERLIFE, LLC
Active
Organization
KELLERLIFE, LLC
Active
Other names
KellerLife Center for Eating Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BRIAN TAYLOR MD (CLINICAL INFORMATICIST)
(480) 294-1386
Entity
Organization
Contact information
Practice address
111 S HEARTHSTONE WAY, CHANDLER, AZ 85226-5010
(480) 239-3459
Mailing address
111 S HEARTHSTONE WAY, CHANDLER, AZ 85226-5010
(480) 656-1070
(480) 656-1231
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/11/2018
Last updated
10/26/2018
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