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Organization
THE OPEN DOOR OF INDIANA, PA
Active
Organization
THE OPEN DOOR OF INDIANA, PA
Active
Other names
The Open Door
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH WOLFE (CHIEF COMPLIANCE OFFICER)
(724) 465-2605
Entity
Organization
Contact information
Practice address
665 PHILADELPHIA ST STE 202, INDIANA, PA 15701-3941
(724) 465-2605
(724) 465-2610
Mailing address
665 PHILADELPHIA ST STE 202, INDIANA, PA 15701-3941
(724) 465-2605
(724) 465-2610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
321050
PA
Other
Enumeration date
12/29/2006
Last updated
01/03/2023
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