<Unavail>
LBN: Gateway Addictionology Services, Pllc
<Unavail> is an health care organization with primary practice located at 4862 E. Baseline Road Suite 108, Mesa AZ 85206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Gateway Addictionology Services, Pllc can be contacted via phone (480) 981-2405, or through Delisio, Brian J. via phone (480) 981-2405.
Contact Information
Primary practice address
4862 E. Baseline Road Suite 108
Mesa AZ 85206
Phone: (480) 981-2405
Fax: (480) 981-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 43504 | Arizona |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | BH5407 | Arizona |
Profile Details
| NPI number | 1699221879 |
|---|---|
| LBN Legal business name | Gateway Addictionology Services, Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Delisio, Brian J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Jun 21st, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699221879 | NPPES |
| Arizona | Other | 1699221879 | NPI |
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