Organization
GATEWAY COMMUNITY SERVICES MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI ALI MS (EXECUTIVE DIRECTOR)
(207) 536-1590
Entity
Organization
Contact information
Practice address
501 FOREST AVE, PORTLAND, ME 04101-1503
(207) 536-1590
Mailing address
501 FOREST AVE, PORTLAND, ME 04101-1503
(207) 536-1590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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