# GATEWAY DETOXIFICATION, INC

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

## Provider details

- **NPI number:** 1326234519
- **Authorized official:** MR. MICHAEL A MELICHAR (CEO/PROGRAM DIRECTOR)
- **Authorized official phone:** (561) 265-4031

## Contact information

- **Practice address:** 401 SE 23RD AVE, BOYNTON BEACH, FL 33435-7289
- **Practice address phone:** (561) 265-4031
- **Practice address fax:** (561) 265-4091
- **Mailing address:** 660 LINTON BLVD, SUITE 112, DELRAY BEACH, FL 33444-8167
- **Mailing address phone:** (561) 265-4031
- **Mailing address fax:** (561) 265-4091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007