Individual provider · Type 1 NPI

Kenyahdal Gatewood, PRC

Peer Specialist · Flint, MI

NPI number 1023818192 Active

Practice location

1044 W Bristol Rd
Flint, MI 48507-5516

Call (810) 238-0483 Map

Mailing address

1116 W Bristol Rd
Flint, MI 48507-5518

Other practice locations

  • 1116 W Bristol Rd, Flint, MI 48507-5518 · (810) 238-0483

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1023818192

Kenyahdal Gatewood, PRC's National Provider Identifier is 1023818192, issued on Mar 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Flint, MI. The record was last updated on Mar 17, 2025.