Organization
GATEWAY WELLMESS CENTER
Active
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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