GATEWAY ACADEMY, LLC
Ambulatory Health at 1100, Salt Lake City, UT

License number
Utah 31810
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
License number
Utah 17567
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: ANGIE EVANS
Title: BO
Phone: (801) 766-6604
Address
Address
1390 S 1100 E STE 203, Salt Lake City, UT 84105
National Provider ID: 1205291739
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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