Organization
GATEWAY DETOXIFICATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MELICHAR (CEO/PROGRAM DIRECTOR)
(561) 265-4031
Entity
Organization
Contact information
Practice address
401 SE 23RD AVE, BOYNTON BEACH, FL 33435-7289
(561) 265-4031
(561) 265-4091
Mailing address
660 LINTON BLVD, SUITE 112, DELRAY BEACH, FL 33444-8167
(561) 265-4031
(561) 265-4091
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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