Organization
OPEN DOOR LIVING ASSOCIATION, INC
Active
Parent organization
OPEN DOOR LIVING SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR LIVING SERVICES, LLC
Authorized official
MRS. MYA NDIAYE MA, TLLP (CHIEF OPERATING OFFICER)
(313) 414-1945
Entity
Organization
Contact information
Practice address
16320 E 9 MILE RD, EASTPOINTE, MI 48021-2440
(586) 218-8570
(586) 944-2731
Mailing address
16320 E 9 MILE RD, EASTPOINTE, MI 48021-2440
(586) 218-8570
(586) 944-2731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301015244
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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