Gateway-detroit East
May also be knows as Detroit East Health Services
Community/Behavioral Health Agency in Detroit, MI(View on Map)
Legal Business Name
Gateway-detroit East
Also Known As
Detroit East Health Services
NPI Number
1669759668
NPI Type
Organization
Enumeration Date
11/04/2011
Specialties
(Taxonomies)Name
Code
251S00000X
1223G0001X
207R00000X
2084P0800X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
6309 MACK AVE
6309 MACK AVE
City
Detroit
Detroit
State
MI
MI
Postal Code
48207-2302
48207-2302
Country
US
US
Telephone Number
(313) 921-4700
(313) 921-4700
Authorized Official
Name
Dr. Radwan Khoury
Title or Position
GROUP HEAD
Telephone Number
(313) 331-3435
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/30/2015
Provider Address
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