NPI | 1164165569 |
---|---|
Doing Business As | OPEN DOOR WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MELONIE PARMLEY Medical Director 406-750-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2022-04-14 |
Last Update Date | 2024-09-26 |