| Gateway House, Inc | |
|
423 Croft Street Greenville SC 29609 | |
| (864) 242-9193 | |
| (864) 242-3861 |
| Full Name | Gateway House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 423 Croft Street, Greenville, South Carolina |
| Authorized Official Name and Position | Randy L Redlinger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8643806818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway House, Inc P.o. Box 4241 Greenville SC 29608-4241 Ph: (864) 242-9193 | Gateway House, Inc 423 Croft Street Greenville SC 29609 Ph: (864) 242-9193 |
| NPI Number | 1932422078 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932422078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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