Gateways Satellite

NPI 1497884613 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1497884613
Enumeration Date 03/05/2007
Last Updated 04/23/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARA MARA
Position CEO
Phone (323) 644-2030
Fax (323) 660-6866
Practice Location
437 N HOOVER ST
LOS ANGELES CA, 90004-2306, US
Phone (323) 644-2030
Fax (323) 660-6866
Business Location
1891 EFFIE ST
LOS ANGELES CA, 90026-1711, US
Phone (323) 644-2000
Fax (323) 666-1417
Toxanomy
Taxonomy Code 323P00000X
License State California
License Number 191800257
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According to our database, Gateways Satellite NPI is 1497884613, taxonomy code is 323P00000X and license number is 191800257, license state is located at California. Gateways Satellite physically located at 437 N Hoover St, Los Angeles CA, 90004-2306. NPI Number 1033115704 has the healthcare provider type.

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1497884613 NPI number is provided on an as is basis without warranty of any kind. 1497884613 is maintained by the National Plan & Provider Enumeration System. The contents of Gateways Satellite are for informational purposes only.