Organization
GATEWAY FOUNDATION, INC. - BHC
Active
Organization
GATEWAY FOUNDATION, INC. - BHC
Active
Other names
Gateway Foundation, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EHIMAN UWIDIA (DIRECTOR OF CONTRACT AND CRED)
(312) 663-1130
Entity
Organization
Contact information
Practice address
404 N HERSHEY RD STE B, BLOOMINGTON, IL 61704-3560
(877) 381-6538
Mailing address
PO BOX 463, CHICAGO, IL 60690-0463
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/27/2026
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