Organization
KEYS (KEEPING EVERY YOUTH SAFE)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EARL DONALD (OFFICIAL ORGANIZATION PROVIDER)
(501) 398-1987
Entity
Organization
Contact information
Practice address
2717 SO RINGO STREET, LITTLE ROCK, AR 72206-6554
(501) 398-1987
Mailing address
2717 SO RINGO STREET, LITTLE ROCK, AR 72206-6554
(501) 398-1987
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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