Gateway Academy, Llc | |
1390 S 1100 E Ste 203 Salt Lake City UT 84105-2463 | |
(801) 523-3479 | |
Not Available |
Full Name | Gateway Academy, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1390 S 1100 E Ste 203, Salt Lake City, 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 |
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Gateway Academy, Llc 1390 S 1100 E Ste 203 Salt Lake City UT 84105-2463 Ph: () - | Gateway Academy, Llc 1390 S 1100 E Ste 203 Salt Lake City UT 84105-2463 Ph: (801) 523-3479 |
NPI Number | 1205291739 |
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Provider Enumeration Date | 12/29/2015 |
Last Update Date | 10/12/2016 |
Identifier | Type | State | Issuer |
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1205291739 | NPI | - | NPPES |
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