# OPEN ARMS YOUTH & FAMILY SERVICES OF GASTONIA, LLC

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

## Provider details

- **NPI number:** 1669763694
- **Authorized official:** OCTAVIA DEVONNE SHANKL (PRESIDENT)
- **Authorized official phone:** (704) 361-5395

## Contact information

- **Practice address:** 615 S NEW HOPE RD STE 101, GASTONIA, NC 28054-4808
- **Practice address phone:** (704) 865-9795
- **Practice address fax:** (704) 865-9785
- **Mailing address:** 615 S NEW HOPE RD STE 101, GASTONIA, NC 28054-4808
- **Mailing address phone:** (704) 865-9795
- **Mailing address fax:** (704) 865-9785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 04/25/2011