GATEWAY ADDICTIONOLOGY SERVICES PLLC NPI 1699221879

NPI Information

GATEWAY ADDICTIONOLOGY SERVICES, PLLC is a substance abuse rehabilitation facility in Mesa, 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. GATEWAY ADDICTIONOLOGY SERVICES, PLLC NPI is 1699221879. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gateway Recovery Institute.

The provider's business location address is:

4862 E. BASELINE ROAD
SUITE 108
MESA, AZ
ZIP 85206
Phone: (480) 981-2405
Fax: (480) 981-2407

The provider's authorized official is Brian J. Delisio .
The authorized official title is President/ceo and has the following contact phone number (480) 981-2405.

The CLIA number assigned to this NPI record is 03D2118311 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 6/21/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.