Organization
GATEWAY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRIAN IVERSON (CEO)
(702) 279-1298
Entity
Organization
Contact information
Practice address
37 W OWENS AVE, N LAS VEGAS, NV 89030-6865
(702) 279-1298
Mailing address
37 W OWENS AVE, N LAS VEGAS, NV 89030-6865
(702) 279-1298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
06/08/2016
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