Healthcare Provider Details

I. General information

NPI: 1235072448
Provider Name (Legal Business Name): OPEN ARMZ CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15093 E 13 MILE RD
WARREN MI
48088-3312
US

IV. Provider business mailing address

15093 E 13 MILE RD
WARREN MI
48088-3312
US

V. Phone/Fax

Practice location:
  • Phone: 586-455-0225
  • Fax:
Mailing address:
  • Phone: 586-455-0225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHYNA JOHNSON
Title or Position: MANAGER
Credential:
Phone: 586-455-0225