GATEHOUSE THERAPEUTIC HEALTH SERVICES NPI 1609184050

NPI Information

GATEHOUSE THERAPEUTIC HEALTH SERVICES is a substance abuse rehabilitation facility in Wickenburg, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GATEHOUSE THERAPEUTIC HEALTH SERVICES NPI is 1609184050. The provider is registered as an organization entity type.

The provider's business location address is:

159 W WICKENBURG WAY
WICKENBURG, AZ
ZIP 85390-265
Phone: (928) 668-0710
Fax: (928) 684-6852

The provider's authorized official is Dan D Sours .
The authorized official title is Clinical Director and has the following contact phone number (928) 668-0710.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 9/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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