Provider Demographics
NPI:1225548506
Name:SOUTHWEST KEY
Entity Type:Organization
Organization Name:SOUTHWEST KEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS, YOUTH JUSTI
Authorized Official - Prefix:
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-669-8999
Mailing Address - Street 1:6002 JAIN LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-3104
Mailing Address - Country:US
Mailing Address - Phone:512-669-8999
Mailing Address - Fax:512-462-2028
Practice Address - Street 1:6002 JAIN LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-3104
Practice Address - Country:US
Practice Address - Phone:512-669-8999
Practice Address - Fax:512-462-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management