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 |
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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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