NPI | 1447719828 |
---|---|
Doing Business As | GATEWAY SUPPORT SERVICES |
Entity Type | Organization |
Authorized Contact | VICTOR JAIYEOLA CEO 443-743-0761 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-03-15 |
Last Update Date | 2019-03-15 |