Provider Demographics
NPI:1164839312
Name:THE OPENING PATH
Entity Type:Organization
Organization Name:THE OPENING PATH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CORPORATE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:WANNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MDIV
Authorized Official - Phone:717-538-0161
Mailing Address - Street 1:313 WEST LIBERTY STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603
Mailing Address - Country:US
Mailing Address - Phone:717-538-0161
Mailing Address - Fax:717-427-1112
Practice Address - Street 1:313 WEST LIBERTY STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603
Practice Address - Country:US
Practice Address - Phone:717-538-0161
Practice Address - Fax:717-427-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009042L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty