NPI | 1891053344 |
---|---|
Doing Business As | GATEWAY YOUTH SERVICES |
Entity Type | Organization |
Authorized Contact | KATHLEEN A FITZSIMMONS CAO/Clinical Director 703-309-9852 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2012-05-02 |
Last Update Date | 2024-04-09 |