Organization
THE GATEWAY CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASHARA R KIRKSEY (PROGRAM DIRECTOR)
(281) 989-4933
Entity
Organization
Contact information
Practice address
12360 RICHMOND AVE APT 1022, HOUSTON, TX 77082-2404
(281) 989-4933
Mailing address
PO BOX 440061, HOUSTON, TX 77244-0061
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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