Provider Demographics
NPI:1306079751
Name:OPEN ARMS RESIDENTIAL AND COMMUNITY SUPPORT INC.
Entity type:Organization
Organization Name:OPEN ARMS RESIDENTIAL AND COMMUNITY SUPPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-795-5004
Mailing Address - Street 1:1100 HARDEE ROAD
Mailing Address - Street 2:SUITE 112 A
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-2500
Mailing Address - Country:US
Mailing Address - Phone:252-526-5007
Mailing Address - Fax:252-795-5006
Practice Address - Street 1:1100 HARDEE RD
Practice Address - Street 2:SUITE 112 A
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-2529
Practice Address - Country:US
Practice Address - Phone:252-526-5007
Practice Address - Fax:252-795-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management