NPI | 1912567967 |
---|---|
Doing Business As | GATEWAY COMMUNITY SERVICES- LIBBY |
Entity Type | Organization |
Authorized Contact | JENNIFER K HAYWORTH Patient Accounts/ Billing 406-727-2512 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-06-20 |
Last Update Date | 2019-06-20 |