Healthcare Provider Details

I. General information

NPI: 1942403696
Provider Name (Legal Business Name): GATEWAY HOUSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 ARMOUR AVENUE
FORT SMITH AR
72904-4317
US

IV. Provider business mailing address

3900 ARMOUR AVENUE
FORT SMITH AR
72904-4317
US

V. Phone/Fax

Practice location:
  • Phone: 479-783-8849
  • Fax: 479-782-5682
Mailing address:
  • Phone: 479-783-8849
  • Fax: 479-782-5682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number00001
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number00001
License Number StateAR

VIII. Authorized Official

Name: MS. ANITA HUDSON MEADOWS
Title or Position: EXECUTIVE DIRECTOR
Credential: LADAC
Phone: 479-783-8849