| NPI | 1023671740 |
|---|---|
| Other Name | OPEN DOOR HEALTH SERVICES BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRYAN AYARS Chief Executive Officer 765-747-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-02-27 |