GATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE NPI 1295351039

NPI Information

GATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE is a residential treatment facility emotionally disturbed children in Fair Oaks, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. GATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE NPI is 1295351039. The provider is registered as an organization entity type.

The provider's business location address is:

11990 FAIR OAKS BLVD
FAIR OAKS, CA
ZIP 95628-770
Phone: (916) 967-1401
Fax: (916) 782-4544

The provider's authorized official is Jeff Beesley .
The authorized official title is Executive Director and has the following contact phone number (916) 782-1111.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 9/7/2022.

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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