| Southwest Key | |
|
6002 Jain Ln Austin TX 78721-3104 | |
| (512) 669-8999 | |
| Not Available |
| Full Name | Southwest Key |
|---|---|
| Speciality | Case Management |
| Location | 6002 Jain Ln, Austin, Texas |
| Authorized Official Name and Position | Layla F Fry (DIRECTOR OF OPERATIONS, YOUTH JUST) |
| Authorized Official Contact | 5126698999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Key 6002 Jain Ln Austin TX 78721-3104 Ph: (512) 669-8999 | Southwest Key 6002 Jain Ln Austin TX 78721-3104 Ph: (512) 669-8999 |
| NPI Number | 1912109638 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912109638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | BH-2548 (Arizona) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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