| NPI | 1720368822 |
|---|---|
| Former Legal Business Name | KEYSTONE COMMUNITY PARTNERS, INC. |
| Entity Type | Organization |
| Authorized Contact | TANYA SMITH Organization Organizer 919-522-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2015-05-26 |