| Keystone Autism Services | |
|
124 Pine St Harrisburg PA 17101-1208 | |
| (717) 232-7509 | |
| (717) 232-6687 |
| Full Name | Keystone Autism Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Pine St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Charles Hooker (CEO) |
| Authorized Official Contact | 7172327509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Autism Services 124 Pine St Harrisburg PA 17101-1208 Ph: (717) 232-7509 | Keystone Autism Services 124 Pine St Harrisburg PA 17101-1208 Ph: (717) 232-7509 |
| NPI Number | 1811186208 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811186208 | NPI | - | NPPES |
| 1020600830001 | Medicaid | PA | |
| 1020600830003 | Medicaid | PA | |
| 1020600830006 | Medicaid | PA | |
| 1020600830004 | Medicaid | PA |
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