Organization
KEY TO HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLYE M WINBUSH (OWNER)
(312) 523-0728
Entity
Organization
Contact information
Practice address
1748 E 84TH PL, #2, CHICAGO, IL 60617-2275
(312) 523-0728
Mailing address
1748 E 84TH PL, #2, CHICAGO, IL 60617-2275
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSD0V700
—
IL
Enumeration date
07/06/2012
Last updated
07/06/2012
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