NPI 1427425859

Gateway Academy, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Salt Lake City, UT

Practice location

Address: 2487 S 700 E, Salt Lake City, UT 84106-1722
Phone: (801) 523-3479
Fax: (801) 437-2984

Authorised official

Name: Angie Evans
Title: Bo
Phone: (801) 766-6604

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 3132 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1427425859
Entity type: Organization
NPI issued: 2 Sep 2015
Record last updated: 2 Sep 2015

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.