| Gateway Juvenile Diversion Project, Inc | |
|
37 North Maysville St. Mt Sterling KY 40353 | |
| (859) 498-9892 | |
| Not Available |
| Full Name | Gateway Juvenile Diversion Project, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 37 North Maysville St., Mt Sterling, Kentucky |
| Authorized Official Name and Position | Denise Spittler (CEO) |
| Authorized Official Contact | 8594989892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Juvenile Diversion Project, Inc 37 North Maysville St. Mt Sterling KY 40353 Ph: (859) 498-9892 | Gateway Juvenile Diversion Project, Inc 37 North Maysville St. Mt Sterling KY 40353 Ph: (859) 498-9892 |
| NPI Number | 1730563156 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730563156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 700 (Kentucky) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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