Gateway Detoxification, Inc

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

GATEWAY DETOXIFICATION, INC

Practice address

401 SE 23Rd Ave
Boynton Beach, FL 33435-7289

Phone

(561) 265-4031

Fax

(561) 265-4091

NPI assigned

Sep 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael A Melichar

Title

Ceo/Program Director

Phone

(561) 265-4031

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1326234519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 LINTON BLVD",
            "address_2": "SUITE 112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448167",
            "telephone_number": "561-265-4031",
            "fax_number": "561-265-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357289",
            "telephone_number": "561-265-4031",
            "fax_number": "561-265-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DETOXIFICATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MELICHAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "561-265-4031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Hospital Unit in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.