Organization
KAY VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MOUNTAIN (DIRECTOR OF COMPLIANCE)
(443) 204-5800
Entity
Organization
Contact information
Practice address
3300 S LAKESIDE DR, OKLAHOMA CITY, OK 73179-8426
(443) 204-5800
Mailing address
1100 BUSINESS PKWY S STE 1, WESTMINSTER, MD 21157-3048
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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