Healthcare Provider Details

I. General information

NPI: 1467878462
Provider Name (Legal Business Name): KEY POINT HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CROMWELL BRIDGE RD SUITE 212
TOWSON MD
21286-3300
US

IV. Provider business mailing address

135 N PARKE ST
ABERDEEN MD
21001-2428
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-5523
  • Fax: 410-337-5576
Mailing address:
  • Phone: 443-625-1588
  • Fax: 443-625-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4607
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number4607
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number4607
License Number StateMD

VIII. Authorized Official

Name: MR. KARL D WEBER
Title or Position: CEO
Credential: PHD
Phone: 443-625-1588