Organization
GATE-WAY CORPORATION
Active
Other names
Galaxy Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDDIE L. WILLIAMS (DIRECTOR)
(919) 479-6917
Entity
Organization
Contact information
Practice address
4 GALAXY CT, DURHAM, NC 27705-2768
(919) 479-6917
(919) 479-6917
Mailing address
PO BOX 14281, RESEARCH TRIANGLE PARK, NC 27709-4281
(919) 479-6917
(919) 479-6917
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-032-296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603530
—
NC
01
—
H2219
DSS NUMBER
NC
Enumeration date
12/26/2006
Last updated
08/22/2020
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