Kellerlife, LLC

NPI #1962998161 in Chandler, Arizona

Provider Information

NPI Number
1962998161
Entity Type
Organization
Organization Name
Kellerlife, LLC
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Jul 11, 2018
Last Updated
Oct 26, 2018

Practice Location

Address
111 S HEARTHSTONE WAY
State
Arizona
ZIP Code
85226-5010
Phone
(480) 239-3459

Authorized Official

Name
TODD BRIAN TAYLOR, MD
Title
CLINICAL INFORMATICIST
Phone
(480) 294-1386

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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