Organization
THE OPEN DOOR OF INDIANA, PA
Active
Other names
The Open Door
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH WOLFE (CHIEF COMPLIANCE OFFICER)
(724) 465-2605
Entity
Organization
Contact information
Practice address
665 PHILADELPHIA ST STE 202, INDIANA, PA 15701-3941
(724) 465-2605
(724) 465-2610
Mailing address
665 PHILADELPHIA ST STE 202, INDIANA, PA 15701-3941
(724) 465-2605
(724) 465-2610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
321050
PA
Other
Enumeration date
12/29/2006
Last updated
01/03/2023
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