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Keellen, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Creedmoor, North Carolina
NPI 1740365220

Keellen, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Creedmoor, NC. Keellen, Llc practices in Creedmoor, NC. The NPI Number for Keellen, Llc is 1740365220 and holds a License No. MHL-030-028 (North Carolina).

The current practice location address for Keellen, Llc is 313 Park Ave, Creedmoor, NC and can be reached out via phone at 919-529-1965 and via fax at 919-764-9731.

Location: 313 Park Ave, Creedmoor, NC, 27522-0014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740365220
Provider Name
Keellen, Llc
Credential
Provider Entity Type
Organization
Address
313 Park Ave, Creedmoor, NC, 27522-0014
Phone Number
919-529-1965
Fax Number
919-764-9731
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603254 05 NC
institution
Provider Business Practice Location Address Details
Address
313 Park Ave
City
Creedmoor
State
North Carolina
Zip
27522-0313
Phone Number
919-529-1965
Fax Number
919-764-9731
person
Provider Business Mailing Address Details
Address
313 Park Ave
City
Creedmoor
State
North Carolina
Zip
27522-0313
Phone Number
919-529-1965
Fax Number
919-764-9731
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-030-028 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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