Provider Demographics
NPI:1518585298
Name:THE GLASS DOOR PROJECT INC.
Entity Type:Organization
Organization Name:THE GLASS DOOR PROJECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LATONUIA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-220-8400
Mailing Address - Street 1:4004 RIDGECROFT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5030
Mailing Address - Country:US
Mailing Address - Phone:703-220-8400
Mailing Address - Fax:
Practice Address - Street 1:4004 RIDGECROFT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-5030
Practice Address - Country:US
Practice Address - Phone:703-220-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health