Whalio Doctors

NPI 1437775277

Gateway Residential Programs Palm House

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fair Oaks, CA

Practice location

Address
7241 Palm Ave, Fair Oaks, CA 95628-3314
Phone
(916) 965-8828
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
Residential Treatment Facilities Taxonomy 322D00000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1437775277
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.