| Open Arms Community Mental Health Center | |
|
10645 Nw 7th Ave Suite 103-104 Miami FL 33150-1066 | |
| (305) 456-9784 | |
| (786) 953-6528 |
| Full Name | Open Arms Community Mental Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10645 Nw 7th Ave, Miami, Florida |
| Authorized Official Name and Position | Edwin Phillip Servius (CEO) |
| Authorized Official Contact | 3057518371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Community Mental Health Center 10645 Nw 7th Ave Suite 103-104 Miami FL 33150-1066 Ph: (305) 751-8373 | Open Arms Community Mental Health Center 10645 Nw 7th Ave Suite 103-104 Miami FL 33150-1066 Ph: (305) 456-9784 |
| NPI Number | 1164722658 |
|---|---|
| Provider Enumeration Date | 10/30/2010 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Medicare PECOS PAC ID | 2769626167 |
|---|---|
| Medicare Enrollment ID | O20130925000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164722658 | NPI | - | NPPES |
| 105887100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Priscilla M Borrego |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346231768 PECOS PAC ID: 0547229882 Enrollment ID: I20041004000598 |
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