| NPI | 1922752930 |
|---|---|
| Doing Business As | OPEN DOOR MEMORIAL DRIVE |
| Entity Type | Organization |
| Authorized Contact | MARIE BURKEY VP Compliance/Risk 765-286-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |