| 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 |