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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