Organization · Type 2 NPI
Gateway Residential Programs Gingerblossom House
Emotionally Disturbed Childrens' Residential Treatment Facility · Citrus Heights, CA
Practice location
7605 Gingerblossom Dr
Citrus Heights, CA 95621-1918
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 1720604564
Gateway Residential Programs Gingerblossom House's National Provider Identifier is 1720604564, issued on Jun 17, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Citrus Heights, CA. The record was last updated on Sep 7, 2022.