Provider Demographics
NPI:1881122711
Name:OPENING NEW DOORS FOUNDATION INC.
Entity type:Organization
Organization Name:OPENING NEW DOORS FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GIMENO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-317-7990
Mailing Address - Street 1:10001 BISCAYNE LN
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2361
Mailing Address - Country:US
Mailing Address - Phone:240-317-7990
Mailing Address - Fax:301-933-5763
Practice Address - Street 1:10001 BISCAYNE LN
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2361
Practice Address - Country:US
Practice Address - Phone:240-317-7990
Practice Address - Fax:301-933-5763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17538103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty