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
LATINA RUSSELL (CONTRACT AND CRED SPECIALIST)
(312) 663-1130
Entity
Organization
Contact information
Practice address
600 W. LINCOLN STREET, EAST, CASEYVILLE, IL 62232
(618) 345-3970
(618) 345-3970
Mailing address
55 E. JACKSON BLVD., SUITE 1500, CHICAGO, IL 60604
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0538-0044-A
IL
Other
Enumeration date
06/23/2011
Last updated
12/22/2021
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