Provider Demographics
NPI:1174777114
Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Entity type:Organization
Organization Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-995-7435
Mailing Address - Street 1:8300 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3449
Mailing Address - Country:US
Mailing Address - Phone:919-846-6800
Mailing Address - Fax:919-846-6807
Practice Address - Street 1:8300 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3449
Practice Address - Country:US
Practice Address - Phone:919-846-6800
Practice Address - Fax:919-846-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health