| Gateway Academy, Llc | |
|
941 E Cattail Dr Draper UT 84020-8583 | |
| (801) 523-3479 | |
| (801) 437-2984 |
| Full Name | Gateway Academy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 941 E Cattail Dr, Draper, Utah |
| Authorized Official Name and Position | Angie Evans (BO) |
| Authorized Official Contact | 8017666604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Academy, Llc 941 E Cattail Dr Draper UT 84020-8583 Ph: (801) 523-3479 | Gateway Academy, Llc 941 E Cattail Dr Draper UT 84020-8583 Ph: (801) 523-3479 |
| NPI Number | 1720456981 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720456981 | NPI | - | NPPES |
| 95860 | Other | UT | UT LICENSE |
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