Provider Demographics
NPI:1861907263
Name:SOUTHERN WORCESTER COUNTY ARC INC
Entity type:Organization
Organization Name:SOUTHERN WORCESTER COUNTY ARC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-764-4085
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0066
Mailing Address - Country:US
Mailing Address - Phone:508-764-4085
Mailing Address - Fax:
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1245
Practice Address - Country:US
Practice Address - Phone:508-764-4085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER OF HOPE FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services