Provider Demographics
NPI:1386275469
Name:GATEWAYS TO TRANSFORMATION LLC
Entity type:Organization
Organization Name:GATEWAYS TO TRANSFORMATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:COUNSELOR
Authorized Official - Phone:303-859-7385
Mailing Address - Street 1:4874 GATEWAY RD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORD
Mailing Address - State:CO
Mailing Address - Zip Code:81415-8929
Mailing Address - Country:US
Mailing Address - Phone:303-859-7385
Mailing Address - Fax:970-921-5420
Practice Address - Street 1:4874 GATEWAY RD
Practice Address - Street 2:
Practice Address - City:CRAWFORD
Practice Address - State:CO
Practice Address - Zip Code:81415-8929
Practice Address - Country:US
Practice Address - Phone:303-859-7385
Practice Address - Fax:970-921-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness