Keystone Community Resources, Inc.

NPI #1821572454 in Moscow, Pennsylvania

Provider Information

NPI Number
1821572454
Entity Type
Organization
Organization Name
Keystone Community Resources, Inc.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 19, 2018
Last Updated
Feb 7, 2020

Practice Location

Address
119 HOMESTEAD ROAD
City
Moscow
ZIP Code
18444-7739
Phone
(570) 848-1277

Authorized Official

Name
MR. DAVID ANTHONY DAVITT JR., DO
Title
ACCOUNTS RECEIVABLE COORDINATOR
Phone
(570) 702-8000

Specialties & Taxonomy Codes

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

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