Organization
GREATWAYGROUP LLC
Active
Parent organization
GREATWAYGROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATWAYGROUP LLC
Authorized official
MR. WASIU O YUSUF (PRESIDENT)
(202) 710-5665
Entity
Organization
Contact information
Practice address
1815 MITCHELLVILLE RD, BOWIE, MD 20716-1541
(202) 710-5665
Mailing address
1815 MITCHELLVILLE RD, BOWIE, MD 20716-1541
(202) 710-5665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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