Gateway Residential Services, Inc.

NPI #1508905324 in Benson, Minnesota

Provider Information

NPI Number: 1508905324
Entity Type: Organization
Organization Name: Gateway Residential Services, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 701 14TH ST S
City: Benson
State: Minnesota
ZIP Code: 56215-1902
Phone: (320) 843-4808

Authorized Official

Name: DEBRA SHRIVER
Title: CFO
Phone: (320) 231-2738

Specialties & Taxonomy Codes

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

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