Organization
KEY BEHAVIOR ESSENTIALS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMESHULAH RUTH PROCTOR MPA (COO/OWNER)
(919) 801-7268
Entity
Organization
Contact information
Practice address
8300 FALLS OF NEUSE RD STE 108, RALEIGH, NC 27615-3450
(919) 846-6800
Mailing address
12200 ARNESON ST, RALEIGH, NC 27614-6961
(919) 801-7268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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