Gateway Addictionology Services, Pllc - Mesa, AZ

Gateway Addictionology Services, Pllc

Substance Abuse Rehabilitation Facility in Mesa, Arizona

NPI 1699221879

Gateway Addictionology Services, Pllc is a Substance Abuse Rehabilitation Facility based in Mesa, AZ. Gateway Addictionology Services, Pllc practices in Mesa, AZ. The NPI Number for Gateway Addictionology Services, Pllc is 1699221879 and holds a License No. 43504 (Arizona).

The current practice location address for Gateway Addictionology Services, Pllc is 4862 E. Baseline Road, Mesa, AZ and can be reached out via phone at 480-981-2405 and via fax at 480-981-2407.

Location: 4862 E. Baseline Road, Mesa, AZ, 85206-4672

NPI Number

1699221879

Provider Name

Gateway Addictionology Services, Pllc

Credential

Provider Entity Type

Organization

Address

4862 E. Baseline Road, Mesa, AZ, 85206-4672

Phone Number

480-981-2405

Fax Number

480-981-2407

Provider Enumeration Date

08/29/2016

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1699221879	01	AZ	NPI

Address

4862 E. Baseline Road

City

Mesa

State

Arizona

Zip

85206

Phone Number

480-981-2405

Fax Number

480-981-2407

Address

4862 E. Baseline Road

City

Mesa

State

Arizona

Zip

85206

Phone Number

480-981-2405

Fax Number

480-981-2407

Type

Allopathic & Osteopathic Physicians

Classification

Anesthesiology

Speciality

Addiction Medicine

Taxonomy

207LA0401X

License No.

BH5407 (Arizona)

Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

43504 (Arizona)

Definition

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.

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