Whalio Doctors

NPI 1003390642

Keystone Community Resources, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Scranton, PA

Practice location

Address
511 Stafford Ave, Scranton, PA 18505-2131
Phone
(570) 969-2262
Mailing address
100 Abington Executive Park STE B, Clarks Summit, PA 18411-2276

Authorised official

Name
David Anthony Davitt
Title
Accounts Receivable Coordinator
Phone
(570) 702-8000

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1003390642
Entity type
Organization
NPI issued
19 Sep 2018
Record last updated
7 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.