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Organization

KEPT CECRETS LLC

Active
Other names
Kept Cecrets Sober Living, Kept Cecrets non for profit
Organization subpart
No

Provider details

NPI number
Authorized official
KENDRA MICHELLE BOYD (CEO)
(773) 606-6988
Entity
Organization

Contact information

Practice address
934 JUDSON AVE APT 2W, EVANSTON, IL 60202-1864
(773) 606-6988
Mailing address
934 JUDSON AVE APT 2W, EVANSTON, IL 60202-1864
(773) 606-6988

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QA0600X
Adult Day Care Clinic/Center
Primary
310400000X
Assisted Living Facility
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
06/05/2024
Last updated
11/22/2024
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