Organization
GATEWAY RESIDENTIAL SERVICES, INC
Active
Other names
Gateway Residential Programs, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKUWUDI ONYENWEAMA (EXECUTIVE DIRECTOR)
(443) 722-1433
Entity
Organization
Contact information
Practice address
9334 BEOWULF CIR, ROSEDALE, MD 21237-4516
(443) 722-1433
(443) 231-6997
Mailing address
9334 BEOWULF CIR, ROSEDALE, MD 21237-4516
(443) 722-1433
(443) 231-6997
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
DDA-19244-07
MD
Other
Enumeration date
04/22/2008
Last updated
06/18/2008
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