Organization
OPEN DOOR OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILDINE BURGESS (EXECUTIVE DIRECTOR)
(240) 350-2863
Entity
Organization
Contact information
Practice address
13604 OLD ANNAPOLIS ROAD, BOWIE, MD 20720
(202) 417-4880
Mailing address
13604 OLD ANNAPOLIS ROAD, BOWIE, MD 20720
(202) 417-4880
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/02/2020
Last updated
06/08/2020
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