# OPEN DOORS THERAPEUTIC HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heart Of GoldSenior Homecare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952173817
- **Authorized official:** CHIDINMA GRACE SALAKO (ADMINISTRATION)
- **Authorized official phone:** (480) 749-8176

## Contact information

- **Practice address:** 38212 W SANTA BARBARA AVE, MARICOPA, AZ 85138-5302
- **Practice address phone:** (602) 364-9925
- **Mailing address:** 38212 W SANTA BARBARA AVE, MARICOPA, AZ 85138-5302
- **Mailing address phone:** (602) 364-9925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 04/18/2024