Healthcare Provider Details

I. General information

NPI: 1619302593
Provider Name (Legal Business Name): KEY POINT HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 03/17/2017
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 Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KARL D WEBER
Title or Position: CEO
Credential: PHD
Phone: 443-625-1598