Provider Demographics
NPI:1184324618
Name:KINDER IN THE KEYS
Entity type:Organization
Organization Name:KINDER IN THE KEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANZINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-240-5096
Mailing Address - Street 1:11454 162ND PL N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-6143
Mailing Address - Country:US
Mailing Address - Phone:909-240-5096
Mailing Address - Fax:
Practice Address - Street 1:55 OCEAN FRONT DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4241
Practice Address - Country:US
Practice Address - Phone:800-545-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1194236513
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility