Open Door Center For Change, Llc

NPI 1215068069 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1215068069
Enumeration Date 03/07/2007
Last Updated 06/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMY J AMY
Position CO-OWNER
Phone (608) 827-7220
Fax (608) 827-7223
Practice Location
6502 GRAND TETON PLZ
SUITE 206
MADISON WI, 53719-1047, US
Phone (608) 827-7220
Fax (608) 827-7223
Business Location
6502 GRAND TETON PLZ
SUITE 206
MADISON WI, 53719-1047, US
Phone (608) 827-7220
Fax (608) 827-7223
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 2026
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According to our database, Open Door Center For Change, Llc NPI is 1215068069, taxonomy code is 251S00000X and license number is 2026, license state is located at Wisconsin. Open Door Center For Change, Llc physically located at 6502 Grand Teton Plz, Madison WI, 53719-1047. NPI Number 1033115704 has the healthcare provider type.

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1215068069 NPI number is provided on an as is basis without warranty of any kind. 1215068069 is maintained by the National Plan & Provider Enumeration System. The contents of Open Door Center For Change, Llc are for informational purposes only.