Gateway Residential Programs Fair Oaks House

NPI #1295351039 in Fair Oaks, California

Provider Information

NPI Number
1295351039
Entity Type
Organization
Organization Name
Gateway Residential Programs Fair Oaks House
Subpart
Yes (part of a larger organization)
Parent Organization
GATEWAY RESIDENTIAL PROGRAMS
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 17, 2020
Last Updated
Sep 7, 2022

Practice Location

Address
11990 FAIR OAKS BLVD
ZIP Code
95628-2770
Phone
(916) 967-1401

Authorized Official

Name
JEFF BEESLEY, LMFT
Title
EXECUTIVE DIRECTOR
Phone
(916) 782-1111

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Residential Treatment Facility, Emotionally Disturbed Children

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