| Gateway Behavioral Health Services | |
|
700 Charles Gilman Jr Ave Kingsland GA 31548-6292 | |
| (912) 729-4203 | |
| (912) 729-6977 |
| Full Name | Gateway Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Charles Gilman Jr Ave, Kingsland, Georgia |
| Authorized Official Name and Position | William Parks (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9125548464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Behavioral Health Services 700 Coastal Village Dr Brunswick GA 31520-1974 Ph: (912) 554-8510 | Gateway Behavioral Health Services 700 Charles Gilman Jr Ave Kingsland GA 31548-6292 Ph: (912) 729-4203 |
| NPI Number | 1083743215 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083743215 | NPI | - | NPPES |
| 000606339F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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