Organization
GATEWAY COUNSELING CENTER, INC
Active
Organization
GATEWAY COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LAWRENCE JOHNSON MFT (CEO)
(951) 768-1535
Entity
Organization
Contact information
Practice address
245 N MURRAY ST STE A, BANNING, CA 92220-5528
(951) 768-1535
(866) 896-6067
Mailing address
3576 ARLINGTON AVE STE 307, RIVERSIDE, CA 92506-3988
(951) 768-1535
(866) 896-6067
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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