# AN OPEN MIND, INC.

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

## Provider details

- **NPI number:** 1619111085
- **Authorized official:** JAMES F FOSTER ARNP (PRESIDENT)
- **Authorized official phone:** (954) 495-8490

## Contact information

- **Practice address:** 1881 NE 26TH ST, SUITE 102, WILTON MANORS, FL 33305-1416
- **Practice address phone:** (954) 495-8490
- **Practice address fax:** (954) 495-8592
- **Mailing address:** 1881 NE 26TH ST, SUITE 102, WILTON MANORS, FL 33305-1416
- **Mailing address phone:** (954) 495-8490
- **Mailing address fax:** (954) 495-8592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | ARNP3182002 | FL | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 07/19/2013