| NPI | 1316450794 |
|---|---|
| Other Name | GATEWAYS SATELLITE |
| Entity Type | Organization |
| Authorized Contact | PRINCESS BERRYMON Prof Staff Coordinator 323-644-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-21 |