Organization
KEYAIRA GIFTS & TALENTS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAMPER DD,LSW,MSW, CADC, (CEO)
(708) 864-1684
Entity
Organization
Contact information
Practice address
3850 DEWEY AVE, RICHTON PARK, IL 60471-2563
(708) 864-1684
Mailing address
3850 DEWEY AVE, RICHTON PARK, IL 60471-2563
(708) 864-1684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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