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Organization

GATEWAY TO SUCCESS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN S MORGENTHALER LCSW, LAC, DVCS (EXECUTIVE DIRECTOR)
(719) 564-5070
Entity
Organization

Contact information

Practice address
602 YALE PL, CANON CITY, CO 81212-4611
(719) 275-2301
(719) 896-2874
Mailing address
PO BOX 1748, CANON CITY, CO 81215-1748
(719) 369-2898
(719) 896-2874

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000150357
CO
Enumeration date
12/30/2019
Last updated
12/30/2019
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