Organization
GATEWAY TO SUCCESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MORGENTHALER LCSW, LAC (EXECUTIVE DIRECTOR)
(719) 564-5070
Entity
Organization
Contact information
Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
PO BOX 1748, CANON CITY, CO 81215-1748
(719) 564-5070
(719) 896-2874
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90000128872
—
CO
Enumeration date
12/07/2015
Last updated
08/30/2019
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