Organization Name: | GATEWAY HEALTHCARE, INC |
NPI Number: | 1548297690 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN M PAQUETTE (CLINICAL NURSE SPECIALIST) |
Mailing Address: | 249 Roosevelt Ave Ste 205 Pawtucket |
State: | RI US |
Postal Code: | 02860 |
Phone Number: | 4017248400 |
Fax Number: | 4013651100 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RN27310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |