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Gateway To Success, Pc
Substance Use Disorder Rehabilitation Clinic/Center in Canon City, Colorado
NPI 1093354680

Gateway To Success, Pc is a Substance Use Disorder Rehabilitation Clinic/Center based in Canon City, CO and is specialized in Rehabilitation, Substance Use Disorder. Gateway To Success, Pc practices in Canon City, CO. The NPI Number for Gateway To Success, Pc is 1093354680 and holds a License No. (Colorado).

The current practice location address for Gateway To Success, Pc is 602 Yale Pl, Canon City, CO and can be reached out via phone at 719-275-2301 and via fax at 719-896-2874.

Location: 602 Yale Pl, Canon City, CO, 81215-1748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093354680
Provider Name
Gateway To Success, Pc
Credential
Provider Entity Type
Organization
Address
602 Yale Pl, Canon City, CO, 81215-1748
Phone Number
719-275-2301
Fax Number
719-896-2874
Provider Enumeration Date
12/30/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000150357 05 CO
institution
Provider Business Practice Location Address Details
Address
602 Yale Pl
City
Canon City
State
Colorado
Zip
81212-4611
Phone Number
719-275-2301
Fax Number
719-896-2874
person
Provider Business Mailing Address Details
Address
602 Yale Pl
City
Canon City
State
Colorado
Zip
81212-4611
Phone Number
719-275-2301
Fax Number
719-896-2874
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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