Organization
OPEN DOOR INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIILIAM DIFABIO (COO)
(610) 636-1488
Entity
Organization
Contact information
Practice address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 798-9555
(302) 198-9550
Mailing address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 798-9555
(302) 798-9550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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