| Gateway To Success, Pc | |
|
2429 S Prairie Ave Pueblo CO 81005-2886 | |
| (719) 564-5070 | |
| (719) 896-2874 |
| Full Name | Gateway To Success, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2429 S Prairie Ave, Pueblo, 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) 564-5070 | Gateway To Success, Pc 2429 S Prairie Ave Pueblo CO 81005-2886 Ph: (719) 564-5070 |
| NPI Number | 1558952838 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558952838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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