Provider Demographics
NPI:1699846451
Name:OPENARMSRESIDENTIAL&COMMUNITYSUPPORT,INC
Entity Type:Organization
Organization Name:OPENARMSRESIDENTIAL&COMMUNITYSUPPORT,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MORNING
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-795-4451
Mailing Address - Street 1:8829 HWY 64 EAST
Mailing Address - Street 2:POST OFFICE BOX107
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-0107
Mailing Address - Country:US
Mailing Address - Phone:252-795-4213
Mailing Address - Fax:252-795-4622
Practice Address - Street 1:8829 64 EAST
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871-0107
Practice Address - Country:US
Practice Address - Phone:252-795-4213
Practice Address - Fax:252-795-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL058020322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children