| Gateway Behavioral Health Services | |
|
750 Tupelo Trail Hinesville GA 31313 | |
| (912) 877-2060 | |
| (912) 877-2064 |
| Full Name | Gateway Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 750 Tupelo Trail, Hinesville, 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) 264-0979 | Gateway Behavioral Health Services 750 Tupelo Trail Hinesville GA 31313 Ph: (912) 877-2060 |
| NPI Number | 1922138411 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922138411 | NPI | - | NPPES |
| 000606339U | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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