# CHARLES AND ROSE KELLEY OPEN ARMS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316393408
- **Authorized official:** RAHMAAN N'KOSI KELLEY MAOM (DIRECTOR/ LICENSEE)
- **Authorized official phone:** (989) 714-2925

## Contact information

- **Practice address:** 718 SOMERSET RD, SAGINAW, MI 48638-6262
- **Practice address phone:** (989) 714-2925
- **Mailing address:** 718 SOMERSET RD, SAGINAW, MI 48638-6262
- **Mailing address phone:** (989) 714-2925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | CI730338770 | MI | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/09/2016