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Organization

GATEWAY WELLMESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELE RENEE WILSON (PEER ADVOCATE)
(323) 644-2040
Entity
Organization

Contact information

Practice address
433 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 644-2040
Mailing address
433 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 644-2040

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1720151137
CA

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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