NPI | 1124157342 |
---|---|
Doing Business As | GATEWAYS HOSPITAL SOCIAL REHABILITATION PROGRAM |
Entity Type | Organization |
Authorized Contact | PHILIP WONG CEO 323-309-8707 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 930000058) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2023-05-10 |