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General NPI Number Information
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NPI Number | 1922425552
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Entity Type | Organization
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Legal Business Name | GATEWAYS RECOVERY
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 4966 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-3905
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Country | US
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Telephone | 513-684-7955
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1711
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Country | US
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Telephone | 513-751-7747
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Fax | 513-751-0180
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. CARLA BROOKS
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Credential | CFO
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Telephone | 513-751-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | OH
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