Organization
GATEWAY RESIDENTIAL SERVICES
Active
Parent organization
GATEWAY RESIDENTIAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY RESIDENTIAL SERVICES
Authorized official
KEVIN GRAVES (PRESIDENT/COO)
(970) 823-0033
Entity
Organization
Contact information
Practice address
132 E 5TH ST STE 103, DELTA, CO 81416-1901
(970) 823-0033
Mailing address
4575 GALLEY RD STE 100D, COLORADO SPRINGS, CO 80915-2747
(970) 823-0033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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