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Gateway Behavioral Health Services

Organization Active NPI Developmentally Disabled Services Day Training Agency · Woodbine, GA

NPI 1770858334 · NPPES record last updated Mar 15, 2012

Key facts

NPI
1770858334
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GATEWAY BEHAVIORAL HEALTH SERVICES
Practice address
210 E 15TH St
Woodbine, GA 31569-5501
Phone
(912) 554-8510
NPI assigned
Mar 15, 2012
Organization subpart
No

Authorized official

Name
Rachel Skinner
Title
Director of Reimbursement
Phone
(912) 554-8598

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
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

210 E 15TH St
Woodbine, GA 31569-5501

Mailing address

700 Coastal Village Dr
Brunswick, GA 31520-1974

Other identifiers

IdentifierTypeStateIssuer
000622553ATMedicaidGA

Other names

  • Camden Training Center COMP Other name

Other providers in Woodbine, GA

All providers in Woodbine, GA · Developmentally Disabled Services Day Training Agency in Georgia

Sources for this page

Verify at the official NPI Registry.