| NPI | 1063155950 |
|---|---|
| Doing Business As | OPEN DOOR WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSHUA CARL HOLLOWAY Member 406-781-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-04-17 |