| NPI | 1003209479 |
|---|---|
| Doing Business As | GATEWAY MFT, LLC |
| Entity Type | Organization |
| Authorized Contact | CALLEEN ANTOINETTE MORRIS Clinical Supervisor 480-268-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-10408) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |