| The Open Door, Inc | |
|
1419 Hancock St Quincy MA 02169-5250 | |
| (617) 984-8370 | |
| (617) 984-8371 |
| Full Name | The Open Door, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1419 Hancock St, Quincy, Massachusetts |
| Authorized Official Name and Position | Gail P Cocio (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6179848370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Open Door, Inc 44 Utica St Quincy MA 02169-3232 Ph: (617) 984-8370 | The Open Door, Inc 1419 Hancock St Quincy MA 02169-5250 Ph: (617) 984-8370 |
| NPI Number | 1356370134 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356370134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 112177 (Massachusetts) | Primary |
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