Organization
GATEWAY COUNSELING CENTER, INC.
Active
Other names
GCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN V BAYER LMSW (EXECUTIVE DIRECTOR)
(718) 325-5021
Entity
Organization
Contact information
Practice address
4500 FURMAN AVE, BRONX, NY 10470-1602
(718) 325-5021
(718) 324-6845
Mailing address
4500 FURMAN AVE, BRONX, NY 10470-1602
(718) 325-5021
(718) 324-6845
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
251C00000X
Developmentally Disabled Services Day Training Agency
—
NY
251S00000X
Community/Behavioral Health Agency
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01098360
—
NY
05
—
01538132
—
NY
05
—
01998952
—
NY
05
—
02693052
—
NY
Enumeration date
06/28/2007
Last updated
08/28/2007
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