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Organization

KEYSTONE RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY ASHLEY CASSITY SIMPSON M.A., A.L.C., M.L.A. (PROGRAM DIRECTOR/THERAPIST)
(251) 626-5797
Entity
Organization

Contact information

Practice address
29000 US HIGHWAY 98, SUITE A-203, DAPHNE, AL 36526-7272
(251) 626-5797
Mailing address
29000 US HIGHWAY 98, SUITE A-203, DAPHNE, AL 36526-7272
(251) 626-5797

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150MLAP
AL
101YM0800X
Mental Health Counselor
Primary
C1058A
AL

Other

Enumeration date
12/26/2007
Last updated
12/26/2007
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