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
1080 E PARK ST, CARBONDALE, IL 62901-3812
(618) 529-1151
(618) 549-9540
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
12/28/2021
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