Gateway Behavioral Health Services in Thunderbolt - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Gateway Behavioral Health Services - NPI 1891828653

Gateway Behavioral Health Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Thunderbolt, 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 1891828653. The last update date is 2011-10-24.

Gateway Behavioral Health Services's current location address is 415 Bonaventure Rd, Thunderbolt, Georgia. You can contact this provider via phone number 9127906526 and fax number 9127903460. The mailing address for Gateway Behavioral Health Services is 415 Bonaventure Rd, Thunderbolt, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gateway Behavioral Health Services
Address 415 Bonaventure Rd, Thunderbolt, Georgia
Phone Number 9127906526
Fax Number 9127903460
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Skinner Rachel
Telephone Number 9125548498

NPI Number Detail

NPI Number 1891828653
Provider Enumeration Date 2007-03-13
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address 415 Bonaventure Rd
City Thunderbolt
State Georgia (GA)
Post Code 314043299
Phone Number 9127906526
Fax Number 9127903460

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 25010119
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
000622553AX GA --

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FAQs about Gateway Behavioral Health Services

What is the Gateway Behavioral Health Services's unique identification number?

The Gateway Behavioral Health Services has been assigned the NPI (National Provider Identifier) Number 1891828653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gateway Behavioral Health Services is physically located?

The Gateway Behavioral Health Services is physically situated at the following address: 415 Bonaventure Rd, Thunderbolt, GA, 314043299.

What is Gateway Behavioral Health Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gateway Behavioral Health Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.

On what date did Gateway Behavioral Health Services receive its 1891828653 assignment from the Centers for Medicare & Medicaid Services?

The Gateway Behavioral Health Services was assigned its 1891828653 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Gateway Behavioral Health Services most recently updated or refreshed?

The details pertaining to the Gateway Behavioral Health Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-24.

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