Open Door Center for Change LLC

NPI #1215068069 in Madison, Wisconsin

Provider Information

NPI Number: 1215068069
Entity Type: Organization
Organization Name: Open Door Center for Change LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 7, 2007
Last Updated: Mar 7, 2024

Practice Location

Address: 6502 GRAND TETON PLZ STE 102
City: Madison
State: Wisconsin
ZIP Code: 53719-1047
Phone: (608) 827-7220

Authorized Official

Name: MS. AMY J MOSHER-GARVEY, LCSW, CSAC
Title: CO-OWNER
Phone: (608) 827-7220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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