| Keystone Behavior Services, Llc | |
|
310 Market St Kingston PA 18704-5442 | |
| (570) 362-2348 | |
| (570) 565-0024 |
| Full Name | Keystone Behavior Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 Market St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Jacqueline Kishbaugh (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5708529217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Behavior Services, Llc 334 Highlark Dr Ste 1 Larksville PA 18704-1656 Ph: (570) 852-9217 | Keystone Behavior Services, Llc 310 Market St Kingston PA 18704-5442 Ph: (570) 362-2348 |
| NPI Number | 1700405461 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700405461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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