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General NPI Number Information
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NPI Number | 1518986777
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Entity Type | Organization
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Legal Business Name | KEYSTONE RICHLAND CENTER LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1451 LUCAS ROAD
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City | MANSFIELD
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State | OH
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Zip | 44903-8682
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Country | US
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Telephone | 419-589-5511
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Fax | 419-589-7381
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Provider Business Mailing Address
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Address Line | 1451 LUCAS ROAD
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City | MANSFIELD
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State | OH
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Zip | 44903-8682
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Country | US
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Telephone | 419-589-5511
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Fax | 419-589-7381
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Authorized Official
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Title or Position | CEO
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Name | KAREN SPIKES
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Credential |
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Telephone | 419-589-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 200512503156
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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