Organization
GATEWAY CENTER OF MONTEREY COUNTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE LYON (EXECUTIVE DIRECTOR)
(831) 372-8002
Entity
Organization
Contact information
Practice address
854 CONGRESS AVE, PACIFIC GROVE, CA 93950-4811
(831) 372-8002
(831) 372-2411
Mailing address
850 CONGRESS AVE, PACIFIC GROVE, CA 93950-4811
(831) 372-8002
(831) 372-2411
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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