Organization · Type 2 NPI
Keystone Community Resources, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gouldsboro, PA
Practice location
178 Main St
Gouldsboro, PA 18424-8834
Mailing address
100 Abington Executive Park Ste B
Clarks Summit, PA 18411-2276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | CER-00128996 (PA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Gouldsboro
About NPI 1972084945
Keystone Community Resources, Inc.'s National Provider Identifier is 1972084945, issued on Aug 27, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gouldsboro, PA. The record was last updated on Feb 7, 2020.