Organization
OPEN ARMS YOUTH HOMES
Active
Organization
OPEN ARMS YOUTH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIS WAYNE DICKSON (FOUNDER/CEO)
(480) 984-1795
Entity
Organization
Contact information
Practice address
10904 E SEBRING AVE, MESA, AZ 85212-5229
(480) 984-1795
(480) 984-1795
Mailing address
1525 S HIGLEY RD. STE 104 PMB 1205, GILBERT, AZ 85296-5045
(480) 984-1795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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