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Organization

KEYS DEVELOPMENT TA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA TRACEY ROBINSON (DIRECTOR OF OPERATIONS)
(443) 429-2536
Entity
Organization

Contact information

Practice address
7501 LIBERTY RD, SUITES A, B, F/G & L, GWYNN OAK, MD 21207-3870
(443) 429-2536
(443) 429-2168
Mailing address
7501 LIBERTY RD, SUITES A, B, F/G & L, GWYNN OAK, MD 21207-3870
(443) 429-2536
(443) 316-8290

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH000907
MD

Other

Enumeration date
06/28/2018
Last updated
04/24/2023
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