| Open Doors Therapeutic Home Llc | |
|
38212 W Santa Barbara Ave Maricopa AZ 85138-5302 | |
| (602) 364-9925 | |
| Not Available |
| Full Name | Open Doors Therapeutic Home Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 38212 W Santa Barbara Ave, Maricopa, Arizona |
| Authorized Official Name and Position | Chidinma Grace Salako (ADMINISTRATION) |
| Authorized Official Contact | 4807498176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Doors Therapeutic Home Llc 38212 W Santa Barbara Ave Maricopa AZ 85138-5302 Ph: (602) 364-9925 | Open Doors Therapeutic Home Llc 38212 W Santa Barbara Ave Maricopa AZ 85138-5302 Ph: (602) 364-9925 |
| NPI Number | 1952173817 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952173817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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