Gateway Academy, LLC
NPI #1205291739 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1205291739
- Entity Type
- Organization
- Organization Name
- Gateway Academy, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Oct 12, 2016
Practice Location
- Address
- 1390 S 1100 E STE 203
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84105-2463
- Phone
- (801) 523-3479
Authorized Official
- Name
- ANGIE EVANS
- Title
- BO
- Phone
- (801) 766-6604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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