Provider Demographics
NPI:1336668037
Name:DOORS INTO THE FUTURE, INC
Entity Type:Organization
Organization Name:DOORS INTO THE FUTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUBER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:973-928-4260
Mailing Address - Street 1:823 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-8401
Mailing Address - Country:US
Mailing Address - Phone:973-928-4260
Mailing Address - Fax:
Practice Address - Street 1:823 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-8401
Practice Address - Country:US
Practice Address - Phone:973-928-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder