Provider Demographics
NPI:1073184644
Name:THE GATE RESOURCE & COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:THE GATE RESOURCE & COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DRAGANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STIJEPOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-445-1544
Mailing Address - Street 1:8179 CALIFORNIA AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2471
Mailing Address - Country:US
Mailing Address - Phone:562-445-1544
Mailing Address - Fax:
Practice Address - Street 1:8179 CALIFORNIA AVE APT 1
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2471
Practice Address - Country:US
Practice Address - Phone:562-445-1544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty