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Gateway Behavioral Health Services

Organization Active NPI Community/Behavioral Health Agency · Hinesville, GA

NPI 1740319359 · NPPES record last updated Sep 27, 2011

Key facts

NPI
1740319359
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
GATEWAY BEHAVIORAL HEALTH SERVICES
Practice address
1113 E Oglethorpe Hwy
Hinesville, GA 31313-1200
Phone
(912) 368-3502
Fax
(912) 368-6844
NPI assigned
Mar 2, 2007
Organization subpart
No

Authorized official

Name
Mr. William Parks, CFO
Title
Chief Financial Officer
Phone
(912) 554-8464

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gateway Community Service Board (72 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1113 E Oglethorpe Hwy
Hinesville, GA 31313-1200

Mailing address

700 Coastal Village Dr
Brunswick, GA 31520-1974
Phone (912) 264-0979

Other identifiers

IdentifierTypeStateIssuer
000714689PMedicaidGA

Other names

  • Gateway BHS - Liberty Outpatient Other name

Other providers in Hinesville, GA

All providers in Hinesville, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.