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Organization

OPEN ARMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TOREIA EPHRAIM (CEO/OWNER)
(910) 813-3041
Entity
Organization

Contact information

Practice address
172 DREW ST, RAEFORD, NC 28376-6639
(910) 848-1116
(910) 848-1116
Mailing address
317 BAREFOOT RD, FAYETTEVILLE, NC 28306-8220
(910) 848-0959
(910) 848-0959

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-047-116
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MHL-047-116
MENTAL HEALTH LICENSURE NUMBER
NC
Enumeration date
04/07/2009
Last updated
04/07/2009
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