MEDICARE: OPEN ARMS TREATMENT CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1487958443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS TREATMENT CENTER INC

Provider Business Mailing Address
First Line	:	3911 SE JACK PINE CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-8765
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CENTERVIEW DR STE 300
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-3712
Country	:	US
Telephone Number	:	336-617-0469
Fax Number	:	888-502-5943

Authorized Official
Title or Position	:	OWNER
Name	:	GARVEY PRESLEY III
Credential	:
Telephone Number	:	336-617-0469

Provider Enumeration Date	:	01/06/2011
Last Update Date	:	10/31/2022

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