Organization
OPENGATE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HULTEN (CEO)
(914) 277-5350
Entity
Organization
Contact information
Practice address
357 MAIN ST, ARMONK, NY 10504-1808
(917) 277-5350
Mailing address
PO BOX 419, ARMONK, NY 10504-0419
(914) 277-5350
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
7512446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752803
—
NY
Enumeration date
04/02/2008
Last updated
06/29/2015
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