Organization
GATEWAY REHABILITATION CENTER-MOFFETT HOUSE
Active
Parent organization
GATEWAY REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY REHABILITATION CENTER
Authorized official
MR. JAMES TROUP (PRESIDENT/CEO)
(412) 604-8900
Entity
Organization
Contact information
Practice address
1215 7TH AVE, 3RD FLOOR, BEAVER FALLS, PA 15010-4409
(724) 846-6145
(724) 846-4351
Mailing address
311 ROUSER RD, MOON TOWNSHIP, PA 15108-2719
(412) 604-8900
(412) 299-8751
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
047043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007607430067
—
PA
Enumeration date
08/09/2005
Last updated
06/03/2022
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