# OPEN DOOR HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861736456
- **Authorized official:** DEBORAH BRIGGS (PROGRAM DIRECTOR)
- **Authorized official phone:** (219) 873-2082

## Contact information

- **Practice address:** 8466 W PAHS RD, MICHIGAN CITY, IN 46360-2919
- **Practice address phone:** (219) 873-2082
- **Mailing address:** 710 FRANKLIN ST, MICHIGAN CITY, IN 46360-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012
