Organization
KEYS COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SILVIO R. PEREZ M.S.W. (PRESIDENT / C.E.O.)
(219) 241-0218
Entity
Organization
Contact information
Practice address
126 W 4TH ST, MICHIGAN CITY, IN 46360-3304
(219) 809-0333
(219) 809-0334
Mailing address
PO BOX 1745, LA PORTE, IN 46352-1745
(219) 809-0333
(219) 809-0334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148310
—
IN
01
—
1063544450
NPI
—
Enumeration date
09/08/2009
Last updated
09/08/2009
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