Organization
12 KEYS REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN KOOL (DIRECTOR)
(954) 678-0078
Entity
Organization
Contact information
Practice address
3203 NE MAPLE AVE, JENSEN BEACH, FL 34957-7261
(954) 746-8232
Mailing address
3203 NE MAPLE AVE, JENSEN BEACH, FL 34957-7261
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1943AD158702
FL
Other
Enumeration date
01/20/2012
Last updated
02/03/2014
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