Provider Demographics
NPI:1992162069
Name:GATEWAY COMMUNITY DEVELOPMENT, INC.
Entity type:Organization
Organization Name:GATEWAY COMMUNITY DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TAFT
Authorized Official - Suffix:
Authorized Official - Credentials:CASAC
Authorized Official - Phone:917-226-7960
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:1132 SOUTHERN BLVD
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-0122
Mailing Address - Country:US
Mailing Address - Phone:917-226-7960
Mailing Address - Fax:718-328-3961
Practice Address - Street 1:1500 BOSTON RD
Practice Address - Street 2:#48
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4940
Practice Address - Country:US
Practice Address - Phone:917-226-7960
Practice Address - Fax:718-328-3961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management