Provider Demographics
NPI:1285210930
Name:OPEN ARMS, LLC
Entity Type:Organization
Organization Name:OPEN ARMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:DIGGS
Authorized Official - Suffix:II
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-627-3593
Mailing Address - Street 1:4201 BELMAR AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1900
Mailing Address - Country:US
Mailing Address - Phone:667-239-3195
Mailing Address - Fax:
Practice Address - Street 1:4201 BELMAR AVE STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1900
Practice Address - Country:US
Practice Address - Phone:667-239-3195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD285007900Medicaid