| NPI | 1598884421 |
|---|---|
| Other Name | KEATON CENTER |
| Entity Type | Organization |
| Authorized Contact | TERESA L PORTER Credentialing Manager 660-890-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-07-04 |