Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PARKS CFO (CHIEF FINANCIAL OFFICER)
(912) 554-8464
Entity
Organization
Contact information
Practice address
6055 NEW JESUP HWY, BRUNSWICK, GA 31523-1629
(912) 264-0979
Mailing address
3441 CYPRESS MILL RD, SUITE 102, BRUNSWICK, GA 31520-2878
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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