Keellen, LLC
NPI #1740365220 in Creedmoor, North Carolina
Provider Information
- NPI Number
- 1740365220
- Entity Type
- Organization
- Organization Name
- Keellen, LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Apr 2, 2009
Practice Location
- Address
- 313 PARK AVE
- City
- Creedmoor
- State
- North Carolina
- ZIP Code
- 27522-0313
- Phone
- (919) 529-1965
Authorized Official
- Name
- MRS. MARY ELLEN JOHNSON
- Title
- OWNER
- Phone
- (919) 529-1965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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