| Gateways | |
|
4966 Glenway Ave Cincinnati OH 45238-3905 | |
| (513) 684-7955 | |
| Not Available |
| Full Name | Gateways |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4966 Glenway Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Carla Brooks (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5137517747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateways 2600 Victory Pkwy Cincinnati OH 45206-1711 Ph: (513) 751-7747 | Gateways 4966 Glenway Ave Cincinnati OH 45238-3905 Ph: (513) 684-7955 |
| NPI Number | 1922425552 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922425552 | NPI | - | NPPES |
| 0101140 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Ohio) | Primary |
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