| NPI | 1861785669 |
|---|---|
| Other Name | KEYSTONE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JOANNE COCHRAN CEO 717-709-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2024-05-16 |