| NPI | 1306970207 |
|---|---|
| Other Name | GATEWAY BHS - GLYNN PINEHAVEN GH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PARKS Chief Financial Officer 912-554-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-10-18 |