Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1922473354 |
| LBN Legal business name | GATEWAY FOUNDATION INC. |
| Authorized official | THOMAS BRITTON - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/10/2015 |
| Last updated | 05/29/2020 - About 6 years ago |
| Identifiers | n/a |
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