Organization · Type 2 NPI

Gateway Addictionology Services, PLLC

Substance Abuse Rehabilitation Facility · Mesa, AZ

NPI number 1699221879 Active

Practice location

4862 E. Baseline Road, Suite 108
Mesa, AZ 85206

Call (480) 981-2405 Map

Fax (480) 981-2407

Mailing address

4838 E. Baseline Road, Suite 108
Mesa, AZ 85206-4672

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Anesthesiology) Physician 207LA0401X43504 (AZ)
Substance Abuse Rehabilitation Facility Primary 324500000XBH5407 (AZ)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1699221879

Gateway Addictionology Services, PLLC's National Provider Identifier is 1699221879, issued on Aug 29, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 21, 2018.