# GATEWAY COMMUNITY CHARTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265233027
- **Authorized official:** JASON SAMPLE (SUPERINTENDENT/CEO)
- **Authorized official phone:** (916) 286-5129

## Contact information

- **Practice address:** 5112 ARNOLD AVE STE A, MCCLELLAN, CA 95652-1075
- **Practice address phone:** (916) 286-5129
- **Mailing address:** 5112 ARNOLD AVE STE A, MCCLELLAN, CA 95652-1075
- **Mailing address phone:** (916) 286-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 03/20/2025