Healthcare Provider Details

I. General information

NPI: 1265659775
Provider Name (Legal Business Name): KEY POINT HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N PARKE ST
ABERDEEN MD
21001-2428
US

IV. Provider business mailing address

135 N PARKE ST
ABERDEEN MD
21001-2428
US

V. Phone/Fax

Practice location:
  • Phone: 443-625-1588
  • Fax: 443-625-1595
Mailing address:
  • Phone: 443-625-1588
  • Fax: 443-625-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KARL D WEBER
Title or Position: C.E.O.
Credential:
Phone: 443-625-1501