Provider Demographics
NPI:1033413299
Name:GOLD CHRIS ASSOCIATES LLC
Entity Type:Organization
Organization Name:GOLD CHRIS ASSOCIATES LLC
Other - Org Name:GATEWAY DAY TREATMENT PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD MBA
Authorized Official - Phone:732-922-0591
Mailing Address - Street 1:1 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3825
Mailing Address - Country:US
Mailing Address - Phone:732-922-0591
Mailing Address - Fax:
Practice Address - Street 1:1 CENTER ST
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3825
Practice Address - Country:US
Practice Address - Phone:732-922-0591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000285-10261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center