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Organization

GATEWAY BEHAVIORAL HEALTH SERVICES

Active
Other names
Gateway BHS - Glynn TC Comp
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM PARKS CPA CFO (CHIEF FINANCIAL OFFICER)
(912) 554-8464
Entity
Organization

Contact information

Practice address
2809 4TH STREET, BRUNSWICK, GA 31520
(912) 264-1674
(912) 262-9836
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
(912) 264-5965

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000625424C
GA
Enumeration date
03/06/2007
Last updated
10/19/2011
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