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Organization

GATEWAY REHABILITATION CENTER-ERIE

Active
Parent organization
GATEWAY REHABILITATION CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GATEWAY REHABILITATION CENTER
Authorized official
MR. JAMES TROUP (PRESIDENT/CEO)
(412) 604-8900
Entity
Organization

Contact information

Practice address
1928 WAGER RD, ERIE, PA 16509-4054
(814) 825-0373
(814) 825-0483
Mailing address
311 ROUSER RD, MOON TOWNSHIP, PA 15108-2719
(412) 604-8900
(412) 299-8751

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
257067
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007607430077
PA
05
1007607430078
PA
Enumeration date
08/10/2005
Last updated
06/03/2022
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