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Organization
OPEN ARMS CHRISTIAN MINISTRIES
Active
Organization
OPEN ARMS CHRISTIAN MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN COREY MAMFT (EXECUTIVE DIRECTOR)
(812) 659-2533
Entity
Organization
Contact information
Practice address
4516 W STATE ROAD 54, BLOOMFIELD, IN 47424-5207
(812) 659-2533
(812) 659-2477
Mailing address
4516 W STATE ROAD 54, BLOOMFIELD, IN 47424-5207
(812) 659-2533
(812) 659-2477
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
155516933 43620
IN
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03
—
IN
05
—
033
—
IN
05
—
21
—
IN
05
—
26
—
IN
Enumeration date
10/28/2010
Last updated
07/05/2013
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