GATEWAY ADDICTIONOLOGY SERVICES, PLLC

Substance Abuse Rehabilitation Facility

Active Organization
NPI: 1699221879

Practice Address

4862 E. BASELINE ROAD
SUITE 108
Mesa, AZ 85206

Phone: (480) 981-2405

Specialties

Specialty Code Primary License
Anesthesiology - Addiction Medicine 207LA0401X No 43504 (AZ)
Substance Abuse Rehabilitation Facility 324500000X Yes BH5407 (AZ)

Frequently Asked Questions

NPI 1699221879 is the National Provider Identifier for GATEWAY ADDICTIONOLOGY SERVICES, PLLC, a Substance Abuse Rehabilitation Facility provider located in Mesa, AZ. This NPI was enumerated on August 29, 2016.

Quick Facts

NPI
1699221879
Type
Organization
Enumerated
Aug 29, 2016
Last Updated
Jun 21, 2018

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