Organization Name: | DOOR IS OPEN COUNSELING CENTER |
NPI Number: | 1669756961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOYCE SUSAN DOLBERG ROWE (CLINICAL DIRECTOR) |
Mailing Address: | 485 Nantasket Avenue Unit C Hull |
State: | MA US |
Postal Code: | 02045 |
Phone Number: | 7819253500 |
Fax Number: | 7819253505 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 91 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |