Gate Way Health Care Associates LLC
Community/Behavioral Health in Maxton, NC. Organization (NPI-2).
NPI number1093974396
StatusActive
Last updated in NPPESJun 3, 2008
Details
- NPI
- 1093974396
- Entity type
- Organization (NPI-2)
- Legal business name
- Gate Way Health Care Associates LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2008
- Last updated
- Jun 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
612 E Dr Martin Luther King Jr DrMaxton, NC 28364-1800
Phone 910-844-2693 · Fax 910-844-2694
Mailing address
612 Martin Luther King DrMaxton, NC 28364-0355
Phone 910-844-2693 · Fax 910-844-2694
Authorized official
Ealise Hunt
Ceo
9108442693
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