| Gateway Community Services Maine | |
|
501 Forest Ave Portland ME 04101-1503 | |
| (207) 536-1590 | |
| Not Available |
| Full Name | Gateway Community Services Maine |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | Abdullahi Ali (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2075361590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Community Services Maine 501 Forest Ave Portland ME 04101-1503 Ph: (207) 536-1590 | Gateway Community Services Maine 501 Forest Ave Portland ME 04101-1503 Ph: (207) 536-1590 |
| NPI Number | 1184137473 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184137473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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