Provider Demographics
NPI:1932429792
Name:OPEN ARMS FAMILY DAY TREATMENT SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:OPEN ARMS FAMILY DAY TREATMENT SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-353-0850
Mailing Address - Street 1:3105 W MARSHALL ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4729
Mailing Address - Country:US
Mailing Address - Phone:804-353-0850
Mailing Address - Fax:804-353-0852
Practice Address - Street 1:3105 W MARSHALL ST
Practice Address - Street 2:SUITE 207
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4729
Practice Address - Country:US
Practice Address - Phone:804-353-0850
Practice Address - Fax:804-353-0852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services