| Gateway Mountain Center, Inc | |
|
10038 Meadow Way Unit D Truckee CA 96161-4974 | |
| (530) 426-2110 | |
| Not Available |
| Full Name | Gateway Mountain Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10038 Meadow Way Unit D, Truckee, California |
| Authorized Official Name and Position | Peter Curry Mayfield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5302056245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Mountain Center, Inc 10038 Meadow Way Unit D Truckee CA 96161-4974 Ph: (530) 426-2110 | Gateway Mountain Center, Inc 10038 Meadow Way Unit D Truckee CA 96161-4974 Ph: (530) 426-2110 |
| NPI Number | 1245897206 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245897206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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