| NPI | 1366977464 |
|---|---|
| Doing Business As | OPEN DOOR YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LEAH PEZZAROSSI Executive Director 812-948-5481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |