NPI | 1689206252 |
---|---|
Doing Business As | OPEN DOOR GYNECOLOGY SERVICES |
Entity Type | Organization |
Authorized Contact | STACY WATKINS Chief Administrative Officer 707-826-8633 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2023-06-07 |