Organization
KEY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIREKA V BAMBARA (CEO)
(336) 350-2630
Entity
Organization
Contact information
Practice address
1412 SHARPE RD, BURLINGTON, NC 27217
(336) 350-2630
Mailing address
1412 SHARPE RD, BURLINGTON, NC 27217-8774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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