Basic Information
| Provider Information | |||||||||
| NPI: | 1548918915 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARS OF PENNSYLVANIA LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 ONIX DR | ||||||||
| Address2: | |||||||||
| City: | KENNETT SQUARE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193481886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4847312496 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3433 TRINDLE RD | ||||||||
| Address2: | |||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170114434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177644500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2022 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| AuthorizedOfficialLastName: | KING | ||||||||
| AuthorizedOfficialFirstName: | GENEVIEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 4847312500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.