| Gateway Community Initiative, Inc | |
|
111 Windel Dr 205 Raleigh NC 27609-4475 | |
| (919) 896-4380 | |
| (800) 991-0902 |
| Full Name | Gateway Community Initiative, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 Windel Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Angela S Parker (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9198964380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Community Initiative, Inc 2510 Garden Hill Dr 303 Raleigh NC 27614-6899 Ph: (919) 896-4380 | Gateway Community Initiative, Inc 111 Windel Dr 205 Raleigh NC 27609-4475 Ph: (919) 896-4380 |
| NPI Number | 1104130632 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104130632 | NPI | - | NPPES |
| 6112104 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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