Organization
GATEWAY COUNSELING CENTER
Active
Other names
Gateway Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN A FITZSIMMONS DR./LPC (CAO/CLINICAL DIRECTOR)
(703) 309-9852
Entity
Organization
Contact information
Practice address
400 HOPE ROAD, STAFFORD, VA 22554
(703) 309-9852
Mailing address
PO BOX 547, STAFFORD, VA 22555
(703) 309-9852
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
04/09/2024
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