Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PARKS CPA CFO (CHIEF FINANCIAL OFFICER)
(912) 554-8464
Entity
Organization
Contact information
Practice address
415 BONAVENTURE ROAD, SAVANNAH, GA 31404
(912) 790-6526
(912) 754-7108
Mailing address
3441 CYPRESS MILL ROAD, SUITE 102, BRUNSWICK, GA 31520
(912) 264-0979
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553R
—
GA
Enumeration date
03/15/2007
Last updated
11/08/2010
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