Organization Name: | KEYSTONE COMMUNITY RESOURCES, INC. |
NPI Number: | 1629248166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT FLEESE (PRESIDENT/CEO) |
Mailing Address: | 100 Abington Executive Park Suite B Clarks Summit |
State: | PA US |
Postal Code: | 184112258 |
Phone Number: | 5707028000 |
Fax Number: | 5707028196 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |