Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway BHS - Chatham TC Now
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CREWS CFO (CHIEF FINANCIAL OFFICER)
(912) 554-8464
Entity
Organization
Contact information
Practice address
415 BONAVENTURE RD, THUNDERBOLT, GA 31404-3299
(912) 790-6526
(912) 790-3460
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606339R
—
GA
05
—
000622553AQ
—
GA
Enumeration date
03/25/2008
Last updated
03/10/2017
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