Organization
SOUTHWEST KEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAYLA F FRY (DIRECTOR OF OPERATIONS, YOUTH JUST)
(512) 669-8999
Entity
Organization
Contact information
Practice address
6002 JAIN LN, AUSTIN, TX 78721-3104
(512) 669-8999
Mailing address
6002 JAIN LN, AUSTIN, TX 78721-3104
(512) 669-8999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
Primary
BH-2548
AZ
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/04/2007
Last updated
07/21/2022
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