Provider Demographics
NPI:1063052355
Name:KEYS PROGRAM INC
Entity type:Organization
Organization Name:KEYS PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:860-404-5501
Mailing Address - Street 1:90 BRAINARD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1687
Mailing Address - Country:US
Mailing Address - Phone:860-404-5501
Mailing Address - Fax:860-470-3286
Practice Address - Street 1:90 BRAINARD RD STE 105
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1687
Practice Address - Country:US
Practice Address - Phone:860-404-5501
Practice Address - Fax:860-470-3286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSPIRATIONAL CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty