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Organization

GATEWAY FOUNDATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYI SHAW CAS II (PROGRAM DIRECTOR)
(916) 451-9312
Entity
Organization

Contact information

Practice address
4049 MILLER WAY, SACRAMENTO, CA 95817-1332
(916) 451-9312
Mailing address
3469 RANCHO RIO WAY, SACRAMENTO, CA 95834-1501
(916) 297-2436

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
C340020
CA

Other

Enumeration date
05/02/2014
Last updated
05/02/2014
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