| 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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