Gateway

NPI #1003689035 in Canton, Michigan

Provider Information

NPI Number: 1003689035
Entity Type: Organization
Organization Name: Gateway
Primary Specialty: Behavior Technician
Enumeration Date: Nov 1, 2023
Last Updated: May 22, 2024

Practice Location

Address: 5840 N CANTON CENTER RD STE 270
City: Canton
State: Michigan
ZIP Code: 48187-2614
Phone: (734) 796-6601

Authorized Official

Name: MRS. CHRISTINA CLEMENT
Title: BEHAVIORAL TECHNICIAN
Phone: (734) 796-6601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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