NPI | 1699221879 |
---|---|
Doing Business As | GATEWAY RECOVERY INSTITUTE |
Entity Type | Organization |
Authorized Contact | BRIAN J. DELISIO President/CEO 480-981-2405 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH5407) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: AZ 43504) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2018-06-21 |