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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Addiction Medicine |
207LA0401X | 05 | Physician/Anesthesiology |
| NPI Number | 1699221879 |
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| LBN Legal business name | GATEWAY ADDICTIONOLOGY SERVICES, PLLC | ||||||||||||
| Authorized official | BRIAN DELISIO - (PRESIDENT/CEO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/29/2016 | ||||||||||||
| Last updated | 06/21/2018 - About 8 years ago | ||||||||||||
| Identifiers |
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GATEWAY ADDICTIONOLOGY SERVICES, PLLC