Open Door Center For Change Llc

LBN: Open Door Center For Change Llc
Open Door Center For Change Llc is an health care organization with primary practice located at 6502 Grand Teton Plz Ste 102 , Madison WI 53719-1047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Open Door Center For Change Llc can be contacted via phone (608) 827-7220, or through Mosher-Garvey, Amy J via phone (608) 827-7220.

Contact Information

Primary practice address
6502 Grand Teton Plz Ste 102 Madison WI 53719-1047
Phone: (608) 827-7220
Fax: (608) 827-7223
Website:
Map and Directions
Authorized official contact:
Name: Mosher-Garvey, Amy J LCSW, CSAC
Phone: (608) 827-7220

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1215068069
LBN Legal business name Open Door Center For Change Llc
DBA Doing business as
Authorized official Mosher-Garvey, Amy J LCSW, CSAC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 7th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215068069 NPPES
Wisconsin MEDICAID 42198900

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