Organization
GREENE ARC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA LYNNE DIAS (EXECUTIVE DIRECTOR)
(724) 627-5511
Entity
Organization
Contact information
Practice address
197 DUNN STATION RD, PROSPERITY, PA 15329-1625
(724) 627-5511
(724) 852-1764
Mailing address
197 DUNN STATION RD, PROSPERITY, PA 15329-1625
(724) 627-5511
(724) 852-1764
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
469500
PA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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