Provider Demographics
NPI:1952082125
Name:A&M OPEN ARMS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:A&M OPEN ARMS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABONGE
Authorized Official - Middle Name:GEORGETTE
Authorized Official - Last Name:NGEMBUS-NIHNGIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-597-4357
Mailing Address - Street 1:17714 AVENEL LN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-4568
Mailing Address - Country:US
Mailing Address - Phone:703-221-8148
Mailing Address - Fax:
Practice Address - Street 1:17714 AVENEL LN
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-4568
Practice Address - Country:US
Practice Address - Phone:703-221-8148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities