Gateway Bhs - Scs Bonaventure Adult Outpatient | |
415 Bonaventure Rd Thunderbolt GA 31404-3299 | |
(912) 790-6527 | |
(912) 644-7729 |
Full Name | Gateway Bhs - Scs Bonaventure Adult Outpatient |
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Speciality | Counselor |
Location | 415 Bonaventure Rd, Thunderbolt, Georgia |
Authorized Official Name and Position | Rachel Skinner (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Contact | 9125548498 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Bhs - Scs Bonaventure Adult Outpatient 700 Coastal Village Dr Brunswick GA 31520-1974 Ph: (912) 554-8510 | Gateway Bhs - Scs Bonaventure Adult Outpatient 415 Bonaventure Rd Thunderbolt GA 31404-3299 Ph: (912) 790-6527 |
NPI Number | 1346379567 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 11/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346379567 | NPI | - | NPPES |
000714689V | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Gateway Bhs - Chatham Tc Now Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Bonaventure Rd, Thunderbolt, GA 31404 Phone: 912-790-6526 Fax: 912-790-3460 | |
Gateway Bhs - Scs Bonaventure C & A Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Bonaventure Rd, Thunderbolt, GA 31404 Phone: 912-790-6527 Fax: 912-644-7729 |