Open Door Mgmt Agency of Jacksonville
NPI #1326193186 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1326193186
- Entity Type
- Organization
- Organization Name
- Open Door Mgmt Agency of Jacksonville
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 1675 HALLTOWN RD
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-4565
- Phone
- (910) 346-7513
Authorized Official
- Name
- MRS. DELORES PERRY
- Title
- OWNER
- Phone
- (910) 577-4175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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