Gateway Residential Programs Hickory House
NPI #1528684362 in Orangevale, California
Provider Information
- NPI Number
- 1528684362
- Entity Type
- Organization
- Organization Name
- Gateway Residential Programs Hickory 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
- 7327 HICKORY AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-2426
- Phone
- (916) 721-1259
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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