| NPI | 1497042303 |
|---|---|
| Other Name | GATEWAY BHS - GLYNN ACT TEAM |
| Entity Type | Organization |
| Authorized Contact | RACHEL N SKINNER Director Of Reimbursement 912-554-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-11-14 |