Provider Demographics
NPI:1861655920
Name:ARCH STREET CENTER
Entity Type:Organization
Organization Name:ARCH STREET CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:717-392-8536
Mailing Address - Street 1:223 W ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3747
Mailing Address - Country:US
Mailing Address - Phone:717-392-8536
Mailing Address - Fax:717-392-7697
Practice Address - Street 1:223 W ORANGE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3747
Practice Address - Country:US
Practice Address - Phone:717-392-8536
Practice Address - Fax:717-392-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health