| Gateway Residential Services | |
|
132 E 5th St Ste 103 Delta CO 81416-1901 | |
| (970) 823-0033 | |
| Not Available |
| Full Name | Gateway Residential Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 E 5th St Ste 103, Delta, Colorado |
| Authorized Official Name and Position | Kevin Graves (PRESIDENT/COO) |
| Authorized Official Contact | 9708230033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Residential Services 4575 Galley Rd Ste 100d Colorado Springs CO 80915-2747 Ph: (970) 823-0033 | Gateway Residential Services 132 E 5th St Ste 103 Delta CO 81416-1901 Ph: (970) 823-0033 |
| NPI Number | 1629653449 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629653449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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