Provider Demographics
NPI:1881041655
Name:KEYS BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:KEYS BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CALESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWC
Authorized Official - Phone:443-429-2536
Mailing Address - Street 1:7501 LIBERTY RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-3870
Mailing Address - Country:US
Mailing Address - Phone:443-429-2536
Mailing Address - Fax:
Practice Address - Street 1:7501 LIBERTY RD
Practice Address - Street 2:SUITE G
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-3870
Practice Address - Country:US
Practice Address - Phone:443-429-2536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health