| Gateway Residential Programs | |
|
1780 Vernon St Ste 1 Roseville CA 95678-6311 | |
| (916) 782-1111 | |
| (916) 782-4544 |
| Full Name | Gateway Residential Programs |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1780 Vernon St Ste 1, Roseville, California |
| Authorized Official Name and Position | Jeff Beesley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9167821111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Residential Programs 1780 Vernon St Ste 1 Roseville CA 95678-6311 Ph: (916) 782-1111 | Gateway Residential Programs 1780 Vernon St Ste 1 Roseville CA 95678-6311 Ph: (916) 782-1111 |
| NPI Number | 1609412063 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609412063 | NPI | - | NPPES |
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