| Open Minded Developmental Services, Inc | |
|
2803 Sunset Ave Rocky Mount NC 27804-3644 | |
| (252) 446-1411 | |
| (252) 446-3351 |
| Full Name | Open Minded Developmental Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2803 Sunset Ave, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Minded Developmental Services, Inc 2803 Sunset Ave Rocky Mount NC 27804-3644 Ph: (252) 446-1411 | Open Minded Developmental Services, Inc 2803 Sunset Ave Rocky Mount NC 27804-3644 Ph: (252) 446-1411 |
| NPI Number | 1215742713 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215742713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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