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 |
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Address | 415 Bonaventure Rd, Thunderbolt, Georgia |
Phone Number | 9127906526 |
Fax Number | 9127903460 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Skinner Rachel |
Telephone Number | 9125548498 |
NPI Number Detail
NPI Number | 1891828653 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2011-10-24 |
Provider Mailing Address Detail
Address | 415 Bonaventure Rd |
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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 |
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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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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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