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Provider Demographic Information - DREAM ALIVE LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	DREAM ALIVE LLC
Address:	732 LAUREL AVE ALDAN, PA 19018-4306
Phone:	(215) 730-5529
E-mail:	MADONA.GANDA@YAHOO.COM
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	Dream Alive LLC
Address:	732 LAUREL AVE ALDAN, PA 19018-4306
Phone:	(215) 730-5529

Type:	Regional/Field Office	Counties Served:
Name:	Dream Alive LLC
Address:	211 DAVID LN WEST CHESTER, PA 19382-5204
Phone:	(267) 730-5529

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Chester
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$23.85 / 15 min.
CPS Community 1:1	$13.83 / 15 min.

County : Delaware
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$23.85 / 15 min.
CPS Community 1:1	$13.83 / 15 min.

County : Montgomery
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$23.85 / 15 min.
CPS Community 1:1	$13.83 / 15 min.

County : Philadelphia
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$23.85 / 15 min.
CPS Community 1:1	$13.83 / 15 min.

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