MEDICARE: ARC COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1063003416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	2001 W BELTLINE HWY STE 102
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53713-2366
Country	:	US
Telephone Number	:	608-278-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1022 W MADISON ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2322
Country	:	US
Telephone Number	:	414-837-9054
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	ROBIN RYAN
Credential	:
Telephone Number	:	608-278-2300

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/28/2021

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