GATEWAY JUVENILE DIVERSION PROJECT INC NPI 1730563156

NPI Information

GATEWAY JUVENILE DIVERSION PROJECT, INC is a professional counselor in Mt Sterling, KY. GATEWAY JUVENILE DIVERSION PROJECT, INC NPI is 1730563156. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gateway Children's Services.

The provider's business location address is:

37 NORTH MAYSVILLE ST.
MT STERLING, KY
ZIP 40353
Phone: (859) 498-9892

The provider's authorized official is Joe Gomes .
The authorized official title is Ceo and has the following contact phone number (859) 498-9892.

The CLIA number assigned to this NPI record is 18D1101148 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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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