| Gateway Bhs - Glynn Coastal Village Outpatient | |
|
600 Coastal Village Dr Brunswick GA 31520 | |
| (912) 554-8500 | |
| (912) 280-1523 |
| Full Name | Gateway Bhs - Glynn Coastal Village Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Coastal Village Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Wendy L Hughes (CFO) |
| Authorized Official Contact | 9125548464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Bhs - Glynn Coastal Village Outpatient 700 Coastal Village Dr Brunswick GA 31520-1974 Ph: (912) 264-0979 | Gateway Bhs - Glynn Coastal Village Outpatient 600 Coastal Village Dr Brunswick GA 31520 Ph: (912) 554-8500 |
| NPI Number | 1528197753 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528197753 | NPI | - | NPPES |
| 000606339A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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