Organization
GATEWAY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ANN GUINN (OFFICE MANAGER)
(479) 785-4083
Entity
Organization
Contact information
Practice address
3900 ARMOUR AVE, FORT SMITH, AR 72904-4317
(479) 783-8849
(479) 783-1914
Mailing address
3900 ARMOUR AVE, FORT SMITH, AR 72904-4317
(479) 783-8849
(479) 783-1914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198004744
—
AR
Enumeration date
04/15/2015
Last updated
04/15/2015
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