Organization
OPENGATE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HULTEN LCSW (CHIEF EXECUTIVE OFFICER)
(914) 277-5350
Entity
Organization
Contact information
Practice address
30 WARREN ST, SOMERS, NY 10589-1911
(914) 277-5350
(914) 277-5352
Mailing address
30 WARREN ST, SOMERS, NY 10589-1911
(914) 277-5350
(914) 277-5352
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/27/2012
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