Provider Demographics
NPI:1033356175
Name:KEYSTONE SERVICE SYSTEMS, INC
Entity Type:Organization
Organization Name:KEYSTONE SERVICE SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-232-7509
Mailing Address - Street 1:124 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-1208
Mailing Address - Country:US
Mailing Address - Phone:717-232-7509
Mailing Address - Fax:717-232-6687
Practice Address - Street 1:2915 N GEORGE ST STE 3
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-3075
Practice Address - Country:US
Practice Address - Phone:717-232-7509
Practice Address - Fax:717-232-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health