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Organization
GATEWAYS BOYS AND GIRLS HOME INC
Active
Organization
GATEWAYS BOYS AND GIRLS HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA LYNN LONGSTREET (PROGRAM COORDINATOR)
(417) 538-4673
Entity
Organization
Contact information
Practice address
1836 TILDEN RD, GALENA, MO 65656-8515
(417) 538-4673
(417) 538-4007
Mailing address
1836 TILDEN RD, GALENA, MO 65656-8515
(417) 538-4673
(417) 538-4007
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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