Organization
GATEWAY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS CANO LICSW (SOCAIL WORKER)
(401) 724-8400
Entity
Organization
Contact information
Practice address
249 ROOSEVELT AVE, STE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Mailing address
249 ROOSEVELT AVE, STE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01538
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GC49801
—
RI
Enumeration date
06/30/2006
Last updated
08/22/2020
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