| NPI | 1164165569 |
|---|---|
| Doing Business As | OPEN DOOR WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MELONIE PARMLEY Medical Director 406-781-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |