Gateway Behavioral Health Services
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Savannah, GA
NPI 1720111040 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1720111040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 025011958 (GA)
- Legal business name
- GATEWAY BEHAVIORAL HEALTH SERVICES
- Practice address
- 148 Sea Palms Road
Savannah, GA 31410 - Phone
- (912) 898-3340
- Fax
- (912) 897-6693
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. William Parks, CPA CFO
- Title
- Chief Financial Officer
- Phone
- (912) 554-8464
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Gateway Community Service Board
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 025011958 | GA | Yes |
Addresses
Primary practice location
148 Sea Palms Road
Savannah, GA 31410
Mailing address
700 Coastal Village Dr
Suite 102
Brunswick, GA 31520-1974
Phone (912) 554-8510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000622553BB | Medicaid | GA |
Other names
- Gateway BHS - Chatham Sea Palms GH
Other providers in Savannah, GA
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
All providers in Savannah, GA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. 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.