MEDICARE: OPEN ROADS SERVICES, LLC

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1881058048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ROADS SERVICES, LLC

Provider Business Mailing Address
First Line	:	89 CAMBRIDGE AVE
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-1707
Country	:	US
Telephone Number	:	973-388-4751
Fax Number	:	877-744-8986

Provider Business Practice Location Address
First Line	:	89 CAMBRIDGE AVE
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-1707
Country	:	US
Telephone Number	:	973-388-4751
Fax Number	:	877-744-8986

Authorized Official
Title or Position	:	CEO
Name	:	YOHANDRA C GRILLO
Credential	:	LAMFT
Telephone Number	:	973-388-4751

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	04/15/2026

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Directions to “OPEN ROADS SERVICES, LLC ” Practice Location

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