| Keystone Recovery, Llc | |
|
29000 Us Highway 98 Suite A-203 Daphne AL 36526-7272 | |
| (251) 626-5797 | |
| Not Available |
| Full Name | Keystone Recovery, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 29000 Us Highway 98, Daphne, Alabama |
| Authorized Official Name and Position | Mary Ashley Cassity Simpson (PROGRAM DIRECTOR/THERAPIST) |
| Authorized Official Contact | 2516265797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Recovery, Llc 29000 Us Highway 98 Suite A-203 Daphne AL 36526-7272 Ph: (251) 626-5797 | Keystone Recovery, Llc 29000 Us Highway 98 Suite A-203 Daphne AL 36526-7272 Ph: (251) 626-5797 |
| NPI Number | 1407030463 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407030463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 150MLAP (Alabama) | Secondary |
| 101YM0800X | Counselor - Mental Health | C1058A (Alabama) | Primary |
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