Organization
GATEWAY PSYCHIATRIC SERVICES LLC
Active
Other names
Harmonized Psychiatric Services, Gateway Psychiatric services
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL KPWE NJI (OWNER)
(240) 413-0936
Entity
Organization
Contact information
Practice address
1330 SAN PEDRO DR NE STE 205F, ALBUQUERQUE, NM 87110-6749
(240) 413-0936
Mailing address
1330 SAN PEDRO DR NE STE 205F, ALBUQUERQUE, NM 87110-6749
(240) 413-0936
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
12/27/2024
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