| Gateway-detroit East | |
|
6309 Mack Ave Detroit MI 48207-2302 | |
| (313) 921-4700 | |
| Not Available |
| Full Name | Gateway-detroit East |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6309 Mack Ave, Detroit, Michigan |
| Authorized Official Name and Position | Radwan Khoury (GROUP HEAD) |
| Authorized Official Contact | 3133313435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway-detroit East 6309 Mack Ave Detroit MI 48207-2302 Ph: (313) 921-4700 | Gateway-detroit East 6309 Mack Ave Detroit MI 48207-2302 Ph: (313) 921-4700 |
| NPI Number | 1669759668 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669759668 | NPI | - | NPPES |
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