OPEN DOOR, INC NPI 1972819845

Clinic/Center (Rehabilitation, Substance Use Disorder) in Wilmington, DE

About OPEN DOOR, INC

Open Door, Inc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1972819845. The practitioner's primary taxonomy code is Clinic/Center (261QR0405X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI

1972819845

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameOPEN DOOR, INC
Provider Location Address2400 W 4TH ST WILMINGTON, DE 19805 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address467 CREAMERY WAY EXTON, PA 19341 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-30-2010 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-10-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QR0405X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRehabilitation, Substance Use Disorder
License StateDE

Business Address

OPEN DOOR, INC
2400 W 4TH ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 654-1816
Fax: (302) 654-4130

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Mailing Address

OPEN DOOR, INC
467 CREAMERY WAY
EXTON, PA
ZIP 19341
Phone: (610) 363-1488
Fax: (610) 363-8273

Authorized Official

Authorized Official Name WILLIAM DIFABIO Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCOO
Authorized Official Phone(610) 363-1488

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699081950OPEN DOOR, INC.
Organization
Clinic/Center (Adult Mental Health)2400 W 4TH ST
WILMINGTON, DE 19805
(302) 645-1816
Previous NPI
1972819837
Next NPI
1972819852