Organization
GATEWAY COMMUNITY SERVICE BOARD
Active
Other names
Gateway BHS - Harpers PS, GATEWAY COMMUNITY SERVICE BOARD
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HORNE (REVENUE CYCLE MANAGER)
(912) 280-7023
Entity
Organization
Contact information
Practice address
519 NORWICH STREET, BRUNSWICK, GA 31520
(912) 280-1575
(912) 282-1583
Mailing address
121 BURGESS RD, BRUNSWICK, GA 31523-9311
(912) 280-7023
(912) 289-0909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000625303B
—
GA
Enumeration date
03/06/2007
Last updated
03/31/2026
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