Organization
AN OPEN DOOR GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BAILEY (PRESIDENT)
(817) 862-3495
Entity
Organization
Contact information
Practice address
7840 WHITNEY LN, FORT WORTH, TX 76112-6168
(817) 862-3495
Mailing address
7840 WHITNEY LN, FORT WORTH, TX 76112-6168
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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