Organization
GATEWAY HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA J HYATT PH.D. (CHIEF EXECUTIVE OFFICER)
(804) 767-0292
Entity
Organization
Contact information
Practice address
11901 REEDY BRANCH RD, CHESTERFIELD, VA 23838-4235
(804) 590-0828
Mailing address
4905 DICKENS RD STE 106, RICHMOND, VA 23230-1953
(571) 550-0767
(804) 269-5003
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
673-03-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010075521
—
VA
Enumeration date
09/20/2006
Last updated
12/23/2021
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