Gateway Maryland, Inc - Voluntary or Charitable Agency in Baltimore, Maryland | ProviderWire

Legal Business Name

Gateway Maryland, Inc

Also Known As

Clinical

NPI Number

1386860773

NPI Type

Organization

Enumeration Date

04/17/2007

Specialties

(Taxonomies)

Name

Voluntary or Charitable Agency

Code

251V00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

31008536

Contact
Information

Purpose

Mailing

Location

Address

5900 METRO DR

5900 METRO DR

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21215-3207

21215-3207

Country

US

US

Telephone Number

(410) 318-6780

(410) 318-6780

Authorized Official

Name

Erin Stauder

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(410) 318-6780

Identifiers

Identifier

157705100

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/12/2024

Provider Address

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