| Key Autism Services Il, Llc | |
|
100 Illinois St Ste 200 St Charles IL 60174-1867 | |
| (857) 829-4040 | |
| Not Available |
| Full Name | Key Autism Services Il, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 100 Illinois St Ste 200, St Charles, Illinois |
| Authorized Official Name and Position | Mark Harper (DIR OF OPERATIONS) |
| Authorized Official Contact | 8578294040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Autism Services Il, Llc 1385 Hwy 35 # 284 Middletown NJ 07748-2012 Ph: () - | Key Autism Services Il, Llc 100 Illinois St Ste 200 St Charles IL 60174-1867 Ph: (857) 829-4040 |
| NPI Number | 1215581822 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215581822 | NPI | - | NPPES |
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