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Keystone Community Resources, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Scranton, PA. Organization (NPI-2).

NPI number1669956207
StatusActive
Last updated in NPPESFeb 7, 2020

Details

NPI
1669956207
Entity type
Organization (NPI-2)
Legal business name
Keystone Community Resources, INC.
Organization subpart
No
Enumeration date
Sep 19, 2018
Certification date
Feb 7, 2020
Last updated
Feb 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

925 Stafford Ave
Scranton, PA 18505-2529

Phone 570-347-8749

Mailing address

100 Abington Executive Park Ste B
Clarks Summit, PA 18411-2276

Phone 570-702-8000 · Fax 570-702-8196

Authorized official

David Anthony Davitt
Accounts Receivable Coordinator
5707028000

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Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Scranton, PA

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