Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
ACT TEAM
Organization subpart
No
Provider details
NPI number
Authorized official
WAKEITHA VAIL (CREDENTIALING SPECIALIST)
(912) 554-8498
Entity
Organization
Contact information
Practice address
3441 CYPRESS MILL RD, BRUNSWICK, GA 31520-2878
(912) 554-8498
Mailing address
2 LODGE RD, HWY 17 NORTH, BRUNSWICK, GA 31525-2011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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