Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
Gateway Behavioral Health Services
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
8510 WATERS AVENUE, SAVANNAH, GA 31406
(912) 921-5582
(912) 920-6628
Mailing address
3441 CYPRESS MILL ROAD, SUITE 2, BRUNSWICK, GA 31520
(912) 264-0979
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000625303A
—
GA
Enumeration date
03/13/2007
Last updated
03/04/2009
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