Organization
GATEWAY FOUNDATION, INC.
Active
Parent organization
GATEWAY FOUNDATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY FOUNDATION, INC
Authorized official
RENEE ENNIS MCGEE (MANAGER)
(678) 445-4833
Entity
Organization
Contact information
Practice address
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703-5596
(877) 505-4673
(217) 529-9151
Mailing address
55 E JACKSON BLVD, SUITE 1500, CHICAGO, IL 60604-4466
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
A-0538-0019-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0538-0019-A
IL
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
09/09/2008
Last updated
12/16/2021
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