| Keystone Service Systems, Inc | |
|
625 Ridge Pike Conshohocken PA 19428-1180 | |
| (717) 232-7509 | |
| (717) 232-6687 |
| Full Name | Keystone Service Systems, Inc |
|---|---|
| Speciality | Counselor |
| Location | 625 Ridge Pike, Conshohocken, 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 Service Systems, Inc 124 Pine St Harrisburg PA 17101-1208 Ph: (717) 232-7509 | Keystone Service Systems, Inc 625 Ridge Pike Conshohocken PA 19428-1180 Ph: (717) 232-7509 |
| NPI Number | 1902123680 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902123680 | NPI | - | NPPES |
| 1000010380561 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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