Provider Demographics
NPI:1306478599
Name:GATEWAY TREATMENT CENTER
Entity type:Organization
Organization Name:GATEWAY TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-685-6934
Mailing Address - Street 1:1034 GATEWAY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8360
Mailing Address - Country:US
Mailing Address - Phone:561-685-6934
Mailing Address - Fax:
Practice Address - Street 1:1034 GATEWAY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8360
Practice Address - Country:US
Practice Address - Phone:561-685-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty