| Gateways To Transformation Llc | |
|
4874 Gateway Rd Crawford CO 81415-8929 | |
| (303) 859-7385 | |
| (970) 921-5420 |
| Full Name | Gateways To Transformation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4874 Gateway Rd, Crawford, Colorado |
| Authorized Official Name and Position | Alisha M Adrian (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3038597385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateways To Transformation Llc 4874 Gateway Rd Crawford CO 81415-8929 Ph: (303) 859-7385 | Gateways To Transformation Llc 4874 Gateway Rd Crawford CO 81415-8929 Ph: (303) 859-7385 |
| NPI Number | 1386275469 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386275469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 310500000X | Intermediate Care Facility, Mental Illness | (* (Not Available)) | Secondary |
Rites Of Passage Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4879 Gateway Rd., Crawford, CO 81415 Phone: 970-921-4563 Fax: 970-921-5420 |