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Gateway Behavioral Health Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Thunderbolt, Georgia
NPI 1891828653

Gateway Behavioral Health Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Brunswick, GA. Gateway Behavioral Health Services practices in Thunderbolt, GA. The NPI Number for Gateway Behavioral Health Services is 1891828653 and holds a License No. 025010119 (Georgia).

The current practice location address for Gateway Behavioral Health Services is 415 Bonaventure Rd, Thunderbolt, GA and can be reached out via phone at 912-790-6526 and via fax at 912-790-3460.

Location: 415 Bonaventure Rd, Thunderbolt, GA, 31520-1974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891828653
Provider Name
Gateway Behavioral Health Services
Credential
Provider Entity Type
Organization
Address
415 Bonaventure Rd, Thunderbolt, GA, 31520-1974
Phone Number
912-790-6526
Fax Number
912-790-3460
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000622553AX 05 GA
institution
Provider Business Practice Location Address Details
Address
415 Bonaventure Rd
City
Thunderbolt
State
Georgia
Zip
31404-3299
Phone Number
912-790-6526
Fax Number
912-790-3460
person
Provider Business Mailing Address Details
Address
415 Bonaventure Rd
City
Thunderbolt
State
Georgia
Zip
31404-3299
Phone Number
912-790-6526
Fax Number
912-790-3460
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
025010119 (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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