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1134841216 NPI number — GATEWAY TREATMENT SERVICES LLC

NPI Number: 1134841216
Health Care Provider/Practitioner: GATEWAY TREATMENT SERVICES LLC

Information about “1134841216” NPI (GATEWAY TREATMENT SERVICES LLC) exists in 1134841216 in HTML format HTML  |  1134841216 in plain Text format TXT  |  1134841216 in PDF (Portable Document Format) PDF  |  1134841216 in an XML format XML  formats.

NPI Number : 1134841216 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134841216",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GATEWAY TREATMENT SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4117 CUTTY SARK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLE RIVER",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21220-2373",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-413-9155",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "405 STEMMERS RUN RD STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ESSEX",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21221-3314",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-413-9155",
    "PracticeLocationAddressFaxNumber": "410-314-2598",
    "EnumerationDate": "09/14/2022",
    "LastUpdateDate": "07/12/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRESTON",
    "AuthorizedOfficialFirstName": "NATALIE",
    "AuthorizedOfficialMiddleName": "NICHOLE",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "443-413-9155",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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