Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
The Sunshine House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL N SKINNER (DIRECTOR OF REIMBURSEMENT)
(912) 554-8498
Entity
Organization
Contact information
Practice address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
Mailing address
6055 NEW JESUP HWY, BRUNSWICK, GA 31523-1629
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA000894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553BF
—
GA
Enumeration date
03/15/2012
Last updated
03/15/2012
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