Organization
GATEWAY YOUTH DEVELOPMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRICE PERRY (EXECUTIVE DIRECTOR)
(419) 378-9899
Entity
Organization
Contact information
Practice address
1320 MADISON AVE, TOLEDO, OH 43604-5452
(419) 378-9899
Mailing address
812 HILLTOP LN, TOLEDO, OH 43615-7707
(419) 378-9899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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