Provider Demographics
NPI:1447504972
Name:KEY TO HOPE
Entity type:Organization
Organization Name:KEY TO HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ BEHAVIORAL SPECIALIST CONSUL
Authorized Official - Prefix:
Authorized Official - First Name:KELLYE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:404-849-8248
Mailing Address - Street 1:1748 E 84TH PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2275
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1748 E 84TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2275
Practice Address - Country:US
Practice Address - Phone:404-849-8248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health