Keystone Community Resources Inc.

NPI #1114510633 in Oxford, New Jersey

Provider Information

NPI Number
1114510633
Entity Type
Organization
Organization Name
Keystone Community Resources Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
BEACON SERVICES HOLDINGS INC.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 16, 2021
Last Updated
Feb 16, 2021

Practice Location

Address
559 BRASS CASTLE RD
City
Oxford
ZIP Code
07863-3149
Phone
(570) 702-8000

Authorized Official

Name
MR. DAVID ANTHONY DAVITT JR., DO
Title
DIRECTOR OF REVENUE
Phone
(570) 702-8000

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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