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Organization

GATEWAY CENTER OF MONTEREY CO INC

Active
Parent organization
GATEWAY CENTER MONTEREY COUNTY INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GATEWAY CENTER MONTEREY COUNTY INC.
Authorized official
MS. STEPHANIE LYON (EXECUTIVE DIRECTOR)
(831) 372-8002
Entity
Organization

Contact information

Practice address
840 CONGRESS AVE, PACIFIC GROVE, CA 93950-4811
(831) 372-8002
(831) 372-2411
Mailing address
850 CONGRESS AVE, PACIFIC GROVE, CA 93950-4811
(831) 372-8002
(831) 372-2411

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457652885
CA
Enumeration date
05/06/2016
Last updated
05/24/2016
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