Organization
GATEWAY ACADEMY, LLC
Active
Organization
GATEWAY ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE EVANS (BO)
(801) 766-6604
Entity
Organization
Contact information
Practice address
2487 S 700 E, SALT LAKE CITY, UT 84106-1722
(801) 523-3479
(801) 437-2984
Mailing address
2487 S 700 E, SALT LAKE CITY, UT 84106-1722
(801) 523-3479
(801) 437-2984
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
3132
UT
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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