NPI | 1255793105 |
---|---|
Other Name | KEYSTONE PEDIATRIC DEVELOPMENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JOANNE COCHRAN President And CEO 717-709-7906 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-05-16 |