Gateways Boys and Girls Home Inc
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Galena, MO
NPI 1619616356 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1619616356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- GATEWAYS BOYS AND GIRLS HOME INC
- Practice address
- 1836 Tilden Rd
Galena, MO 65656-8515 - Phone
- (417) 538-4673
- Fax
- (417) 538-4007
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Ms. Jenna Lynn Longstreet
- Title
- Program Coordinator
- Phone
- (417) 527-2729
Corporate family (same tax ID) 1
Practitioners 2
-
Skyler Callie Pennington, PLPC
-
Kelli E Dillon-Leduc, MSW
National Provider Directory
- Tax ID family
- Gateways Boys and Girls Home Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
1836 Tilden Rd
Galena, MO 65656-8515
Mailing address
1836 Tilden Rd
Galena, MO 65656-8515
Phone (417) 538-4673
Other names
- Gateways Group Home
Other providers in Galena, MO
- Kalle Carr
- Heather L Dean
- Galena R-II
- Gateways Boys and Girls Home Inc
- Kristin M Kay
- Keri L Morgan
- Skyler Callie Pennington
- Regional Services
All providers in Galena, MO · Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.