| Gateway To Success, Pc | |
|
602 Yale Pl Canon City CO 81212-4611 | |
| (719) 275-2301 | |
| (719) 896-2874 |
| Full Name | Gateway To Success, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 602 Yale Pl, Canon City, Colorado |
| Authorized Official Name and Position | Karen S Morgenthaler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7195645070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway To Success, Pc Po Box 1748 Canon City CO 81215-1748 Ph: (719) 369-2898 | Gateway To Success, Pc 602 Yale Pl Canon City CO 81212-4611 Ph: (719) 275-2301 |
| NPI Number | 1093354680 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093354680 | NPI | - | NPPES |
| 9000150357 | Medicaid | CO |
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