Organization
GATEWAY TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY CHARLES TALBOTT MSW (PRESIDENT)
(865) 724-0852
Entity
Organization
Contact information
Practice address
37 KIKER ST, ELLIJAY, GA 30540-3758
(706) 703-2517
(706) 273-2517
Mailing address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 724-0852
(865) 724-0853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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