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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