Gateway Behavioral Health Services in Brunswick - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Gateway Behavioral Health Services - NPI 1124151980
Gateway Behavioral Health Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Brunswick, Georgia. Gateway Behavioral Health Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Gateway Behavioral Health Services is 1124151980. The last update date is 2011-09-20.
Gateway Behavioral Health Services's current location address is 107 Baybridge Dr, Brunswick, Georgia. You can contact this provider via phone number 9122646065 and fax number 9122654520. The mailing address for Gateway Behavioral Health Services is 107 Baybridge Dr, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gateway Behavioral Health Services |
|---|---|
| Address | 107 Baybridge Dr, Brunswick, Georgia |
| Phone Number | 9122646065 |
| Fax Number | 9122654520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Parks William |
| Credentials | CPA CFO |
| Telephone Number | 9125548464 |
NPI Number Detail
| NPI Number | 1124151980 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 107 Baybridge Dr |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315251818 |
| Phone Number | 9122646065 |
| Fax Number | 9122654520 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000622553AV | GA | -- |
Post Comment/ Review Below
What is the Gateway Behavioral Health Services's 1124151980?
The Gateway Behavioral Health Services's NPI (National Provider Identifier) Number is 1124151980. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gateway Behavioral Health Services located?
The Gateway Behavioral Health Services is located at 107 Baybridge Dr, Brunswick, GA 315251818.
What is Gateway Behavioral Health Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gateway Behavioral Health Services's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
When was the Gateway Behavioral Health Services's 1124151980 issued?
The Gateway Behavioral Health Services's 1124151980 was issued on 2007-03-13.
When was the information regarding Gateway Behavioral Health Services most recently updated?
The details pertaining to the Gateway Behavioral Health Services, including its address, specialty, and other relevant information, were last refreshed on 2011-09-20.