Gateway Academy, LLC

NPI #1720456981 in Draper, Utah

Provider Information

NPI Number: 1720456981
Entity Type: Organization
Organization Name: Gateway Academy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 4, 2015
Last Updated: Nov 2, 2022

Practice Location

Address: 941 E CATTAIL DR
City: Draper
State: Utah
ZIP Code: 84020-8583
Phone: (801) 523-3479

Authorized Official

Name: ANGIE EVANS
Title: BO
Phone: (801) 766-6604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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