| Open Door Center | |
|
129 3rd Ave Ne Valley City ND 58072-3057 | |
| (701) 845-1124 | |
| (701) 845-1175 |
| Full Name | Open Door Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 129 3rd Ave Ne, Valley City, North Dakota |
| Authorized Official Name and Position | Marcy R Svenningsen (FINANCE DIRECTOR) |
| Authorized Official Contact | 7018451124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Center 129 3rd Ave Ne Valley City ND 58072-3057 Ph: (701) 845-1124 | Open Door Center 129 3rd Ave Ne Valley City ND 58072-3057 Ph: (701) 845-1124 |
| NPI Number | 1710585666 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710585666 | NPI | - | NPPES |
| 1456224 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Open Door Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 3rd Ave Ne, Valley City, ND 58072 Phone: 701-845-1124 Fax: 701-845-1175 |