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GATEWAY BEHAVIORAL HEALTH SERVICES NPI 1720250269


NPI Information

NPI: 1720250269
Provider Name: GATEWAY BEHAVIORAL HEALTH SERVICES

Doing Business As: GATEWAY BHS - CHATHAM TC NOW

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
415 BONAVENTURE RD
THUNDERBOLT, GA
ZIP 31404
Phone: (912) 790-6526
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GATEWAY BEHAVIORAL HEALTH SERVICES is a community behavioral health in Thunderbolt, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GATEWAY BEHAVIORAL HEALTH SERVICES NPI is 1720250269. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Bhs - Chatham Tc Now.

The provider's business location address is:

415 BONAVENTURE RD
THUNDERBOLT, GA
ZIP 31404-299
Phone: (912) 790-6526
Fax: (912) 790-3460

The provider's authorized official is David Crews .
The authorized official title is Chief Financial Officer and has the following contact phone number (912) 554-8464.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000606339RMEDICAIDGEORGIA
2000622553AQMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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