Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway BHS - Liberty GH A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL N. SKINNER (DIRECTOR OF REIMBURSEMENT)
(912) 554-8498
Entity
Organization
Contact information
Practice address
760 S MAIN ST, #A, HINESVILLE, GA 31313-4613
(912) 554-8510
(912) 264-5965
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553AM
—
GA
05
—
000859141B
—
GA
Enumeration date
03/05/2007
Last updated
01/05/2012
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