Gateway Community Service Board

NPI #1073646097 in Darien, Georgia

Provider Information

NPI Number: 1073646097
Entity Type: Organization
Organization Name: Gateway Community Service Board
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 13, 2007
Last Updated: Mar 6, 2008

Practice Location

Address: 1000 COMMISSIONER DR
City: Darien
State: Georgia
ZIP Code: 31305-9487
Phone: (912) 437-7300

Authorized Official

Name: DR. FRANK BONATI, M.D.
Title: CEO
Phone: (912) 437-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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