Healthcare Provider Details

I. General information

NPI: 1477677896
Provider Name (Legal Business Name): KEY POINT HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1012 NORTH POINT RD
BALTIMORE MD
21224-3338
US

IV. Provider business mailing address

135 N PARKE ST
ABERDEEN MD
21001-2428
US

V. Phone/Fax

Practice location:
  • Phone: 443-216-4770
  • Fax: 443-216-4771
Mailing address:
  • Phone: 443-625-1588
  • Fax:

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 Number2157
License Number StateMD

VIII. Authorized Official

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