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1962286120 NPI number — GATEWAYS TO COMMITMENT

NPI Number: 1962286120
Health Care Provider/Practitioner: GATEWAYS TO COMMITMENT

Information about “1962286120” NPI (GATEWAYS TO COMMITMENT) exists in 1962286120 in HTML format HTML  |  1962286120 in plain Text format TXT  |  1962286120 in PDF (Portable Document Format) PDF  |  1962286120 in an XML format XML  formats.

NPI Number : 1962286120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962286120",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GATEWAYS TO COMMITMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4313 TOSH LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23831-6855",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-307-0668",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3143 ZION ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23234-1640",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-307-0668",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2023",
    "LastUpdateDate": "09/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COX",
    "AuthorizedOfficialFirstName": "RENARD",
    "AuthorizedOfficialMiddleName": "LAVELL",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "804-617-0969",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320600000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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