Organization
GATEWAY BEHAHVIORAL HEALTH SERVICES
Active
Other names
Glynn Pinehaven Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT)
(912) 554-8498
Entity
Organization
Contact information
Practice address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
Mailing address
727 PINE HAVEN CIR, BRUNSWICK, GA 31525-9567
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
063-01-035-2
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622553BI
—
GA
Enumeration date
03/01/2012
Last updated
03/01/2012
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