Organization
GATEWAYS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R MCCORD LCSW, LADC (CEO/OWNER)
(207) 532-3222
Entity
Organization
Contact information
Practice address
4 MARKET SQ, SUITE 1, HOULTON, ME 04730-1735
(207) 532-3222
(207) 532-3288
Mailing address
4 MARKET SQ, SUITE 1, HOULTON, ME 04730-1735
(207) 532-3222
(207) 532-3288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
582260
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424610000
—
ME
Enumeration date
01/26/2009
Last updated
08/12/2009
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