Organization
GATEWAY FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYI SHAW (PROGRAM DIRECTOR)
(916) 451-9312
Entity
Organization
Contact information
Practice address
4049 MILLER WAY, SACRAMENTO, CA 95817-1332
(916) 451-9312
(916) 451-4018
Mailing address
4049 MILLER WAY, SACRAMENTO, CA 95817-1332
(916) 451-9312
(916) 451-4018
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
C340020
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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