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Organization

GATEWAY HIGH SCHOL

Active
Find providers by NPI
Organization

GATEWAY HIGH SCHOL

Active
Parent organization
DUNAMIS, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DUNAMIS, INC
Authorized official
MR. ORLANDO GILLAM (CHIEF EXECUTIVE OFFICER)
(559) 981-2143
Entity
Organization

Contact information

Practice address
1550 HERNDON AVE, CLOVIS, CA 93611-0569
(559) 327-1800
Mailing address
1550 HERNDON AVE, CLOVIS, CA 93611-0569
(559) 327-1800

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100091AN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962637512
MEDI CAL
CA
Enumeration date
04/09/2014
Last updated
04/09/2014
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