Provider Demographics
NPI:1265958557
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:S
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:973-928-4263
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:973-928-4263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOORS INTO THE FUTURE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ122160104261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health