Organization
GATEWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D HOSTLER (CFO)
(513) 751-7747
Entity
Organization
Contact information
Practice address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 585-8500
(513) 872-5182
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 751-7747
(513) 872-5182
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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