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Organization

GATEWAY MOUNTAIN CENTER

Active
Parent organization
SOCIAL AND ENVIRONMENTAL ENTREPRENEURS
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOCIAL AND ENVIRONMENTAL ENTREPRENEURS
Authorized official
PETER MAYFIELD (EXECUTIVE DIRECTOR)
(530) 205-6245
Entity
Organization

Contact information

Practice address
10038 MEADOW WAY UNIT A, TRUCKEE, CA 96161-4974
(530) 426-2110
Mailing address
PO BOX 995, SODA SPRINGS, CA 95728-0995

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
90265
CA
251S00000X
Community/Behavioral Health Agency
Primary
90265
CA

Other

Enumeration date
05/20/2016
Last updated
03/17/2018
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