| Keys Development Ta Llc | |
|
7501 Liberty Rd Suites A, B, F/g & L Gwynn Oak MD 21207-3870 | |
| (443) 429-2536 | |
| (443) 429-2168 |
| Full Name | Keys Development Ta Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7501 Liberty Rd, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Erika Tracey Robinson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4434292536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keys Development Ta Llc 7501 Liberty Rd Suites A, B, F/g & L Gwynn Oak MD 21207-3870 Ph: (443) 429-2536 | Keys Development Ta Llc 7501 Liberty Rd Suites A, B, F/g & L Gwynn Oak MD 21207-3870 Ph: (443) 429-2536 |
| NPI Number | 1477048833 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477048833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH000907 (Maryland) | Primary |
Tru Transformation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4711 Liberty Heights Ave Fl 1, Gwynn Oak, MD 21207 Phone: 443-477-0563 Fax: 410-665-4960 | |
Keys Development Ta Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 Liberty Road, Suites A, B, F/g & L, Gwynn Oak, MD 21207 Phone: 443-429-2536 Fax: 443-429-2168 | |
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