| NPI | 1740655661 |
|---|---|
| Doing Business As | GATEWAYS CHILD AND ADOLESCENT OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PHILIP WONG Chief Executive Officer 323-644-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 930000058) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2022-09-07 |