Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Effingham Training Center COMP
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT)
(912) 554-8498
Entity
Organization
Contact information
Practice address
275 FIRST STREET EXT, SPRINGFIELD, GA 31329
(912) 554-8510
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553AU
—
GA
Enumeration date
03/15/2012
Last updated
03/19/2012
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