Organization
GATEWAY RECOVERY CENTER II, LLC
Active
Organization
GATEWAY RECOVERY CENTER II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MICHELE GOODE LADC, MBA (EXECUTIVE DIRECTOR)
(651) 587-7181
Entity
Organization
Contact information
Practice address
6840 78TH AVE N, BROOKLYN PARK, MN 55445-2760
(651) 587-7181
Mailing address
1663 CELIA RD, MENDOTA HEIGHTS, MN 55118-3604
(651) 698-7358
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
05/18/2023
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