institution
Open Door Center For Change Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, Wisconsin
NPI 1215068069

Open Door Center For Change Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Madison, WI and is specialized in Mental Health (Including Community Mental Health Center). Open Door Center For Change Llc practices in Madison, WI. The NPI Number for Open Door Center For Change Llc is 1215068069 and holds a License No. (Wisconsin).

The current practice location address for Open Door Center For Change Llc is 6502 Grand Teton Plz Ste 102, Madison, WI and can be reached out via phone at 608-827-7220 and via fax at 608-827-7223.

Location: 6502 Grand Teton Plz Ste 102, Madison, WI, 53719-1047
institution
Provider Profile Details
NPI Number
1215068069
Provider Name
Open Door Center For Change Llc
Credential
Provider Entity Type
Organization
Address
6502 Grand Teton Plz Ste 102, Madison, WI, 53719-1047
Phone Number
608-827-7220
Fax Number
608-827-7223
Provider Enumeration Date
03/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42198900 05 WI
institution
Provider Business Practice Location Address Details
Address
6502 Grand Teton Plz Ste 102
City
State
Zip
53719-1047
Phone Number
608-827-7220
Fax Number
608-827-7223
person
Provider Business Mailing Address Details
Address
6502 Grand Teton Plz Ste 102
City
State
Zip
53719-1047
Phone Number
608-827-7220
Fax Number
608-827-7223
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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