# OPEN HEART SERVICES

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

## Provider details

- **NPI number:** 1952751117
- **Authorized official:** VICKY POTTS (DIRECTOR)
- **Authorized official phone:** (757) 240-4180

## Contact information

- **Practice address:** 813 FORREST DR STE C, NEWPORT NEWS, VA 23606-4513
- **Practice address phone:** (757) 240-4180
- **Mailing address:** 813 FORREST DR STE C, NEWPORT NEWS, VA 23606-4513
- **Mailing address phone:** (757) 240-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1214-08-011 | VA | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016