Open Gate LLC
NPI #1164298360 in Saco, Maine
Provider Information
- NPI Number
- 1164298360
- Entity Type
- Organization
- Organization Name
- Open Gate LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Nov 29, 2023
- Last Updated
- Nov 29, 2023
Practice Location
Authorized Official
- Name
- JESSICA WALLNER, LCPC
- Title
- OWNER
- Phone
- (207) 710-6505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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