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Organization
OPEN DOORS THERAPEUTIC HOME LLC
Active
Organization
OPEN DOORS THERAPEUTIC HOME LLC
Active
Other names
Heart Of GoldSenior Homecare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA GRACE SALAKO (ADMINISTRATION)
(480) 749-8176
Entity
Organization
Contact information
Practice address
38212 W SANTA BARBARA AVE, MARICOPA, AZ 85138-5302
(602) 364-9925
Mailing address
38212 W SANTA BARBARA AVE, MARICOPA, AZ 85138-5302
(602) 364-9925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/24/2023
Last updated
04/18/2024
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