| Gateway Behavioral Health Services Llc | |
|
37 W Owens Ave N Las Vegas NV 89030-6865 | |
| (702) 279-1298 | |
| Not Available |
| Full Name | Gateway Behavioral Health Services Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 37 W Owens Ave, N Las Vegas, Nevada |
| Authorized Official Name and Position | Jeffrey Brian Iverson (CEO) |
| Authorized Official Contact | 7022791298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Behavioral Health Services Llc 37 W Owens Ave N Las Vegas NV 89030-6865 Ph: (702) 279-1298 | Gateway Behavioral Health Services Llc 37 W Owens Ave N Las Vegas NV 89030-6865 Ph: (702) 279-1298 |
| NPI Number | 1336574037 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336574037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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