Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE BLUE RN (ADMINISTRATOR)
(601) 661-9752
Entity
Organization
Contact information
Practice address
2705 CLAY ST, VICKSBURG, MS 39183-3130
(601) 661-9752
(601) 661-6021
Mailing address
PO BOX 820472, VICKSBURG, MS 39182-0472
(601) 661-9752
(601) 661-6021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
06/16/2018
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