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Gateway Residential Programs Hickory House
Emotionally Disturbed Childrens' Residential Treatment Facility in Orangevale, California
NPI 1528684362

Gateway Residential Programs Hickory House is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Roseville, CA. Gateway Residential Programs Hickory House practices in Orangevale, CA. The NPI Number for Gateway Residential Programs Hickory House is 1528684362 and holds a License No. (California).

The current practice location address for Gateway Residential Programs Hickory House is 7327 Hickory Ave, Orangevale, CA and can be reached out via phone at 916-721-1259 and via fax at 916-782-4544.

Location: 7327 Hickory Ave, Orangevale, CA, 95678-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528684362
Provider Name
Gateway Residential Programs Hickory House
Credential
Provider Entity Type
Organization
Address
7327 Hickory Ave, Orangevale, CA, 95678-6311
Phone Number
916-721-1259
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
7327 Hickory Ave
City
Orangevale
State
California
Zip
95662-2426
Phone Number
916-721-1259
Fax Number
916-782-4544
person
Provider Business Mailing Address Details
Address
7327 Hickory Ave
City
Orangevale
State
California
Zip
95662-2426
Phone Number
916-721-1259
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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