Open Arms Treatment Center Inc | |
1 Centerview Dr Ste 300 Greensboro NC 27407-3712 | |
(336) 617-0469 | |
(888) 502-5943 |
Full Name | Open Arms Treatment Center Inc |
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Speciality | Community/Behavioral Health |
Location | 1 Centerview Dr Ste 300, Greensboro, North Carolina |
Authorized Official Name and Position | Garvey Presley (OWNER) |
Authorized Official Contact | 3366170469 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Arms Treatment Center Inc 3911 Se Jack Pine Ct Greensboro NC 27406-8765 Ph: () - | Open Arms Treatment Center Inc 1 Centerview Dr Ste 300 Greensboro NC 27407-3712 Ph: (336) 617-0469 |
NPI Number | 1487958443 |
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Provider Enumeration Date | 01/06/2011 |
Last Update Date | 10/31/2022 |
Certification Date | 10/31/2022 |
Medicare PECOS PAC ID | 1052747169 |
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Medicare Enrollment ID | O20200210001491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487958443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
342000000X | Transportation Network Company | (* (Not Available)) | Secondary |
Provider Name | Brittany Shydae Hargrove |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306271317 PECOS PAC ID: 4385904630 Enrollment ID: I20180205002220 |
Provider Name | Aquicha Renee Duff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558714667 PECOS PAC ID: 0042542557 Enrollment ID: I20191104000892 |
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