Organization · NPI-2
Gateway Behavioral Health Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Savannah, GA
NPI number1770616104
StatusActive
Last updated in NPPESMar 6, 2008
Details
- NPI
- 1770616104
- Entity type
- Organization (NPI-2)
- Legal business name
- Gateway Behavioral Health Services
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Mar 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 025011858 | GA | Yes |
Practice location
121 Palmetto Bay RdSavannah, GA 31410-2642
Phone 912-437-7300 · Fax 912-437-9481
Mailing address
1000 Commissioner DrDarien, GA 31305-9487
Phone 912-437-7300 · Fax 912-437-9481
Authorized official
Frank Bonati
Ceo
9124377300
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