Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway BHS - Glynn Frazier GH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT)
(912) 554-8498
Entity
Organization
Contact information
Practice address
115 FRAZIER ROAD, BRUNSWICK, GA 31525
(912) 264-7337
(912) 267-6355
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
063010271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553AN
—
GA
05
—
000622553Y
—
GA
Enumeration date
03/13/2007
Last updated
11/14/2011
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