| NPI | 1700915931 |
|---|---|
| Other Name | GATEWAY BHS - LIBERTY GH A |
| Entity Type | Organization |
| Authorized Contact | RACHEL N. SKINNER Director Of Reimbursement 912-554-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-01-05 |