| Gateway Behavioral Health Services, Llc | |
|
2795 S Crater Rd Unit D Petersburg VA 23805-2405 | |
| (804) 362-9232 | |
| Not Available |
| Full Name | Gateway Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2795 S Crater Rd Unit D, Petersburg, Virginia |
| Authorized Official Name and Position | William Spencer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8043629232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Behavioral Health Services, Llc Po Box 2218 Poquoson VA 23662-0218 Ph: (757) 327-8496 | Gateway Behavioral Health Services, Llc 2795 S Crater Rd Unit D Petersburg VA 23805-2405 Ph: (804) 362-9232 |
| NPI Number | 1205657335 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205657335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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