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Organization

GATEWAY TO PREVENTION AND RECOVERY SEMINOLE

Active
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Organization

GATEWAY TO PREVENTION AND RECOVERY SEMINOLE

Active
Parent organization
GATEWAY TO PREVENTION AND RECOVERY, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GATEWAY TO PREVENTION AND RECOVERY, INC.
Authorized official
JON GREENWOOD (CEO)
(405) 270-1170
Entity
Organization

Contact information

Practice address
919 JEFFERSON ST, SEMINOLE, OK 74868-3150
(405) 273-1170
(405) 385-6604
Mailing address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
(405) 275-4412

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100736990
OK
Enumeration date
01/17/2017
Last updated
04/17/2024
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