| NPI | 1962998161 |
|---|---|
| Doing Business As | KELLERLIFE CENTER FOR EATING DISORDERS |
| Entity Type | Organization |
| Authorized Contact | TODD BRIAN TAYLOR Clinical Informaticist 480-294-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-10-26 |