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Organization

GATEWAY TO RECOVERY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL MELICHAR (CEO PROGRAM DIRECTOR)
(561) 265-4031
Entity
Organization

Contact information

Practice address
660 LINTON BLVD, SUITE 112, DELRAY BEACH, FL 33444-8167
(561) 265-4031
(561) 265-4091
Mailing address
660 LINTON BLVD, SUITE 112, DELRAY BEACH, FL 33444-8167
(561) 265-4031
(561) 265-4091

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0950AD1097491
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S8Z
BCBS FL PROVIDER ID
FL
Enumeration date
12/18/2006
Last updated
08/22/2020
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