Organization
GATEWAY CLINIC, LLC
Active
Other names
Pathways of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BRANCH (OWNER)
(404) 422-4262
Entity
Organization
Contact information
Practice address
7999 PHILIPS HWY, SUITE 305, JACKSONVILLE, FL 32256
(904) 503-9646
Mailing address
7999 PHILIPS HWY STE 305, JACKSONVILLE, FL 32256-4404
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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