Organization
GATEWAY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN B BLACKSHER MSW (EXECUTIVE DIRECTOR)
(916) 338-9460
Entity
Organization
Contact information
Practice address
4049 MILLER WAY, SACRAMENTO, CA 95817-1332
(916) 451-9312
(916) 451-4018
Mailing address
2921 FULTON AVE, SACRAMENTO, CA 95821-4909
(916) 338-9460
(916) 338-9468
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340003AN
CA
Other
Enumeration date
08/26/2005
Last updated
08/22/2020
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