Gateway Residential Services

NPI #1629653449 in Delta, Colorado

Provider Information

NPI Number
1629653449
Entity Type
Organization
Organization Name
Gateway Residential Services
Subpart
Yes (part of a larger organization)
Parent Organization
GATEWAY RESIDENTIAL SERVICES
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 12, 2021
Last Updated
Mar 12, 2021

Practice Location

Address
132 E 5TH ST STE 103
City
Delta
ZIP Code
81416-1901
Phone
(970) 823-0033

Authorized Official

Name
KEVIN GRAVES
Title
PRESIDENT/COO
Phone
(970) 823-0033

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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