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Gateway Residential Programs Fair Oaks House
Emotionally Disturbed Childrens' Residential Treatment Facility in Fair Oaks, California
NPI 1295351039

Gateway Residential Programs Fair Oaks House is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Roseville, CA. Gateway Residential Programs Fair Oaks House practices in Fair Oaks, CA. The NPI Number for Gateway Residential Programs Fair Oaks House is 1295351039 and holds a License No. (California).

The current practice location address for Gateway Residential Programs Fair Oaks House is 11990 Fair Oaks Blvd, Fair Oaks, CA and can be reached out via phone at 916-967-1401 and via fax at 916-782-4544.

Location: 11990 Fair Oaks Blvd, Fair Oaks, CA, 95678-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295351039
Provider Name
Gateway Residential Programs Fair Oaks House
Credential
Provider Entity Type
Organization
Address
11990 Fair Oaks Blvd, Fair Oaks, CA, 95678-6311
Phone Number
916-967-1401
Fax Number
916-782-4544
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11990 Fair Oaks Blvd
City
Fair Oaks
State
California
Zip
95628-2770
Phone Number
916-967-1401
Fax Number
916-782-4544
person
Provider Business Mailing Address Details
Address
11990 Fair Oaks Blvd
City
Fair Oaks
State
California
Zip
95628-2770
Phone Number
916-967-1401
Fax Number
916-782-4544
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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