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Contact Information

GATEWAY DETOXIFICATION, INC
401 SE 23RD AVE
BOYNTON BEACH, FL33435-7289
 Phone: 561-265-4031
 Fax: 561-265-4091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for GATEWAY DETOXIFICATION, INC

NPI Number 1326234519
LBN Legal business name GATEWAY DETOXIFICATION, INC
Authorized official MICHAEL MELICHAR - (CEO/PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2007
Last updated 09/20/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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