Healthcare Provider Details
I. General information
NPI: 1053368100
Provider Name (Legal Business Name): THE NEXT DOOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
965 TUCKER RD
HOOD RIVER OR
97031
US
IV. Provider business mailing address
965 TUCKER RD
HOOD RIVER OR
97031
US
V. Phone/Fax
- Phone: 541-386-6665
- Fax: 541-386-5440
- Phone: 541-386-6665
- Fax: 541-386-5440
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | 37-050 |
| License Number State | OR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANET
L
HAMADA
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 541-436-0301