Provider Demographics
NPI:1598144776
Name:OPEN ARMS DEVELOPMENTAL SERVICES INC.
Entity Type:Organization
Organization Name:OPEN ARMS DEVELOPMENTAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MOORES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:207-483-4638
Mailing Address - Street 1:283 SACARAP RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:ME
Mailing Address - Zip Code:04623-3310
Mailing Address - Country:US
Mailing Address - Phone:207-483-4638
Mailing Address - Fax:207-483-4638
Practice Address - Street 1:283 SACARAP RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:ME
Practice Address - Zip Code:04623-3310
Practice Address - Country:US
Practice Address - Phone:207-483-4638
Practice Address - Fax:207-483-4638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health