Organization
KEYS COMMUNITY
Active
Organization
KEYS COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYANTI PALMER (CEO)
(480) 430-9685
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 940, PHOENIX, AZ 85012-2703
(602) 888-3353
Mailing address
3101 N CENTRAL AVE STE 940, PHOENIX, AZ 85012-2703
(602) 888-3353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
991563
—
AZ
Enumeration date
10/01/2019
Last updated
10/13/2020
Update your record
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