| Open Arms Youth & Family Services, Llc | |
|
615 S New Hope Rd Ste 101 Gastonia NC 28054-4808 | |
| (980) 207-3504 | |
| (980) 207-3505 |
| Full Name | Open Arms Youth & Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 615 S New Hope Rd Ste 101, Gastonia, North Carolina |
| Authorized Official Name and Position | Octavia Devonne Shankle (PRESIDENT/ DIRECTOR) |
| Authorized Official Contact | 7043615395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Youth & Family Services, Llc 615 S New Hope Rd Gastonia NC 28054-4808 Ph: (704) 865-9795 | Open Arms Youth & Family Services, Llc 615 S New Hope Rd Ste 101 Gastonia NC 28054-4808 Ph: (980) 207-3504 |
| NPI Number | 1033413109 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033413109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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