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Organization
GATEWAY ACADEMY LLC DRAPER
Active
Organization
GATEWAY ACADEMY LLC DRAPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE EVANS (INSURANCE BILLING)
(801) 766-6604
Entity
Organization
Contact information
Practice address
11706 S 700 E, DRAPER, UT 84020-9365
(801) 523-3479
Mailing address
11706 S 700 E, DRAPER, UT 84020-9365
(801) 523-3479
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
13312
UT
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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