Provider Demographics
NPI:1851804165
Name:OPEN ARMS ADULT THERAPUTIC
Entity Type:Organization
Organization Name:OPEN ARMS ADULT THERAPUTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:313-218-5341
Mailing Address - Street 1:15639 W MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3541
Mailing Address - Country:US
Mailing Address - Phone:313-218-5341
Mailing Address - Fax:
Practice Address - Street 1:15639 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3541
Practice Address - Country:US
Practice Address - Phone:313-218-5341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care