NPI | 1780044685 |
---|---|
Other Name | KEYSTONE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JOANNE L COCHRAN President And CEO 717-709-7906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2024-05-16 |