| Gateway Healthcare, Inc | |
|
80 Hamlet Ave Woonsocket RI 02895-4410 | |
| (401) 766-1665 | |
| (401) 767-4903 |
| Full Name | Gateway Healthcare, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 80 Hamlet Ave, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Beverly Nixon (LCDS) |
| Authorized Official Contact | 4017661665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare, Inc 249 Roosevelt Ave Suite 205 Pawtucket RI 02860-2134 Ph: (401) 724-8400 | Gateway Healthcare, Inc 80 Hamlet Ave Woonsocket RI 02895-4410 Ph: (401) 766-1665 |
| NPI Number | 1366476707 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366476707 | NPI | - | NPPES |
| FACILITY CONTRACT | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDS (Rhode Island) | Primary |
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