Provider Demographics
NPI:1174065999
Name:DOOR IS OPEN COUNSELING CENTER
Entity type:Organization
Organization Name:DOOR IS OPEN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:SABBATH
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE-DOLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-925-3500
Mailing Address - Street 1:485 NANTASKET AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2556
Mailing Address - Country:US
Mailing Address - Phone:781-925-3500
Mailing Address - Fax:
Practice Address - Street 1:485 NANTASKET AVE
Practice Address - Street 2:UNIT C
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2556
Practice Address - Country:US
Practice Address - Phone:781-925-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health