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 ROAD, SUITES A, B, F/G & L, GWYNN OAK, MD 21207-3870
(443) 429-2536
(443) 429-2168
Mailing address
7501 LIBERTY ROAD, SUITES A, B, F/G & L, GWYNN OAK, MD 21207-3870
(443) 429-2536
(443) 429-2168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MH-1995
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4233169400
—
MD
05
—
4235077000
—
MD
Enumeration date
03/29/2017
Last updated
04/24/2023
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