Keys 4 L.i.f.e.
NPI #1649515412 in Rockingham, North Carolina
Provider Information
- NPI Number
- 1649515412
- Entity Type
- Organization
- Organization Name
- Keys 4 L.i.f.e.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 5, 2012
- Last Updated
- Dec 5, 2012
Practice Location
- Address
- 136 RAIDER RD
- City
- Rockingham
- State
- North Carolina
- ZIP Code
- 28379-9609
- Phone
- (910) 334-4390
Authorized Official
- Name
- MR. DERRICK JEROME GREEN SR., BS,QP
- Title
- C.E.O.
- Phone
- (910) 817-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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