NPI 1295351039
Gateway Residential Programs Fair Oaks House
Practice location
- Address
- 11990 Fair Oaks Blvd, Fair Oaks, CA 95628-2770
- Phone
- (916) 967-1401
- Fax
- (916) 782-4544
- Mailing address
- 1780 Vernon St STE 1, Roseville, CA 95678-6311
Authorised official
- Name
- Jeff Beesley
- Title
- Executive Director
- Phone
- (916) 782-1111
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1295351039
- Entity type
- Organization
- NPI issued
- 17 Jun 2020
- Record last updated
- 7 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.