| Gateway Bhs - Liberty Gh A | |
|
760 S Main St #a Hinesville GA 31313-4613 | |
| (912) 554-8510 | |
| (912) 264-5965 |
| Full Name | Gateway Bhs - Liberty Gh A |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 760 S Main St, Hinesville, Georgia |
| Authorized Official Name and Position | Rachel N. Skinner (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 9125548498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Bhs - Liberty Gh A 700 Coastal Village Dr Brunswick GA 31520-1974 Ph: (912) 554-8510 | Gateway Bhs - Liberty Gh A 760 S Main St #a Hinesville GA 31313-4613 Ph: (912) 554-8510 |
| NPI Number | 1700915931 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700915931 | NPI | - | NPPES |
| 000859141B | Medicaid | GA | |
| 000622553AM | Medicaid | GA |
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