| Open Door Behavioral Health Services, Pllc | |
|
5641 Border Ave Williston ND 58801-8833 | |
| (701) 871-9904 | |
| Not Available |
| Full Name | Open Door Behavioral Health Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5641 Border Ave, Williston, North Dakota |
| Authorized Official Name and Position | Laura Waagen (OWNER) |
| Authorized Official Contact | 7018719900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Behavioral Health Services, Pllc 5641 Border Ave Williston ND 58801-8833 Ph: (701) 871-9904 | Open Door Behavioral Health Services, Pllc 5641 Border Ave Williston ND 58801-8833 Ph: (701) 871-9904 |
| NPI Number | 1700584323 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700584323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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