Provider Demographics
NPI:1366635286
Name:KEY DECISIONS INC
Entity Type:Organization
Organization Name:KEY DECISIONS INC
Other - Org Name:KEY DECISIONS/POSITIVE CHOICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:216-391-0977
Mailing Address - Street 1:PO BOX 10844
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-0844
Mailing Address - Country:US
Mailing Address - Phone:216-391-0977
Mailing Address - Fax:216-391-0978
Practice Address - Street 1:3030 EUCLID AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2530
Practice Address - Country:US
Practice Address - Phone:216-391-0977
Practice Address - Fax:216-391-0978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOHIO-ODADASMedicaid