Provider Demographics
NPI:1144619404
Name:OPEN ARMS INC. DBA BRYAN'S HOUSE
Entity type:Organization
Organization Name:OPEN ARMS INC. DBA BRYAN'S HOUSE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:214-559-3946
Mailing Address - Street 1:PO BOX 35868
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0868
Mailing Address - Country:US
Mailing Address - Phone:214-559-3946
Mailing Address - Fax:214-559-2827
Practice Address - Street 1:3610 PIPESTONE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-6109
Practice Address - Country:US
Practice Address - Phone:214-559-3946
Practice Address - Fax:214-559-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53652251B00000X
TX40818251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management