Key Of Life, Llc | |
42284 Dharte Ct Clinton Township MI 48038-6433 | |
(586) 265-8230 | |
Not Available |
Full Name | Key Of Life, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 42284 Dharte Ct, Clinton Township, Michigan |
Authorized Official Name and Position | Gina Ibrahim (OWNER) |
Authorized Official Contact | 5862658239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Key Of Life, Llc 42284 Dharte Ct Clinton Township MI 48038-6433 Ph: (586) 265-8230 | Key Of Life, Llc 42284 Dharte Ct Clinton Township MI 48038-6433 Ph: (586) 265-8230 |
NPI Number | 1114789526 |
---|---|
Provider Enumeration Date | 01/30/2024 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114789526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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