Organization
KEYSTONE COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE A PRZYBYLSKI (SUPERVISOR)
(570) 702-8059
Entity
Organization
Contact information
Practice address
3264 BIRNEY AVE, SCRANTON, PA 18505-2945
(570) 702-8000
Mailing address
100 ABINGTON EXECUTIVE PARK STE B, CLARKS SUMMIT, PA 18411-2276
(570) 702-8000
(570) 702-8096
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598747
—
PA
Enumeration date
03/08/2022
Last updated
03/08/2022
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