Healthcare Provider Details

I. General information

NPI: 1073417333
Provider Name (Legal Business Name): THE GATEWAY RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 OWENS ST
BINGHAM ME
04920-4008
US

IV. Provider business mailing address

440 SOKOKIS TRL N
LIMERICK ME
04048-3106
US

V. Phone/Fax

Practice location:
  • Phone: 207-807-8937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRITTANY M REICHMANN
Title or Position: BILLING AGENT
Credential:
Phone: 207-714-0023