Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway BHS - Glynn Coastal Village Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY L HUGHES (CFO)
(912) 554-8464
Entity
Organization
Contact information
Practice address
600 COASTAL VILLAGE DR, BRUNSWICK, GA 31520
(912) 554-8500
(912) 280-1523
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 264-0979
(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
—
000606339A
—
GA
Enumeration date
03/05/2007
Last updated
07/22/2014
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