OrganizationActive
The Arc of Lackawanna County
NPI 1962547133 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Scranton, PA
Provider details
- NPI number
- 1962547133
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donald Broderick, Executive Director(570) 346-4010
- License
- 220430 (PA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 219600 (PA)
Residential Treatment Facilities
Agencies
Practice location
115 Meadow Ave
Scranton, PA 18505-2168
Phone: (570) 346-4010
Fax: (570) 346-8436
Approximate (ZIP-level) locationGet directions
Mailing address
115 Meadow Ave
Scranton, PA 18505-2168
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.