Organization Name: | THE DOOR IS OPEN COUNSELING CENTER, LLC |
NPI Number: | 1841661733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SABBATH CLARKE-DOLBERG (CLINICAL DIRECTOR) |
Mailing Address: | 485 Nantasket Ave Unit C Hull |
State: | MA US |
Postal Code: | 020452556 |
Phone Number: | 7819253500 |
Fax Number: | 7819253505 |
NPI Enumeration Date: | 10/17/2015 |
NPI Last Update Date: | 10/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |