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
11 S CAPITOL ST, PEKIN, IL 61554-4106
(877) 505-4673
(309) 346-2799
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-0538-0002-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0538-0002-A
IL
Other
Enumeration date
06/13/2012
Last updated
12/22/2021
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