Organization · Type 2 NPI
Gateway Behavioral Health Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Thunderbolt, GA
Practice location
415 Bonaventure Rd
Thunderbolt, GA 31404-3299
Fax (912) 790-3460
Mailing address
700 Coastal Village Dr
Brunswick, GA 31520-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 025010119 (GA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
6 other providers at this address
- Gateway Behavioral Health ServicesCounselor Thunderbolt, GA NPI 1346379567
- Gateway Behavioral Health ServicesCommunity/Behavioral Health Agency Thunderbolt, GA NPI 1720250269
- Gateway Behavioral Health ServicesCounselor Thunderbolt, GA NPI 1891824025
- Ellen Farrell, LPCProfessional Counselor Thunderbolt, GA NPI 1144557570
- Robert James Egan, LAPCProfessional Counselor Thunderbolt, GA NPI 1891073938
- Shifra Safer, R.N.Registered Nurse Thunderbolt, GA NPI 1528380383
About NPI 1891828653
Gateway Behavioral Health Services's National Provider Identifier is 1891828653, issued on Mar 13, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Thunderbolt, GA. The record was last updated on Oct 24, 2011.