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
DR. THOMAS P BRITTON DRPH,LPC,LCAS,CCS (PRESIDENT & CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
600 W LINCOLN AVE, CASEYVILLE, IL 62232-1329
(877) 505-4673
(618) 345-4398
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-0538-0031-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0538-0031-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
12/16/2021
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