| Gateway Healthcare Connections | |
|
2813 Pulaski Hwy Ste 104 Edgewood MD 21040-1343 | |
| (443) 356-1494 | |
| Not Available |
| Full Name | Gateway Healthcare Connections |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2813 Pulaski Hwy Ste 104, Edgewood, Maryland |
| Authorized Official Name and Position | Herman Ndungu (OWNER) |
| Authorized Official Contact | 4433561494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare Connections 2813 Pulaski Hwy Ste 104 Edgewood MD 21040-1343 Ph: (443) 356-1494 | Gateway Healthcare Connections 2813 Pulaski Hwy Ste 104 Edgewood MD 21040-1343 Ph: (443) 356-1494 |
| NPI Number | 1073243960 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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