Organization · Type 2 NPI
Gateway Residential Programs Hickory House
Emotionally Disturbed Childrens' Residential Treatment Facility · Orangevale, CA
Practice location
7327 Hickory Ave
Orangevale, CA 95662-2426
Fax (916) 782-4544
Mailing address
1780 Vernon St Ste 1
Roseville, CA 95678-6311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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About NPI 1528684362
Gateway Residential Programs Hickory House's National Provider Identifier is 1528684362, issued on Jun 17, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Orangevale, CA. The record was last updated on Sep 7, 2022.