Organization
GATEWAY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M DEAN (PRES/CEO)
(815) 875-4548
Entity
Organization
Contact information
Practice address
526 S BUREAU VALLEY PKWY, SUITE B, PRINCETON, IL 61356-2046
(815) 875-4548
(815) 875-8602
Mailing address
PO BOX 535, PRINCETON, IL 61356-0535
(815) 875-4548
(815) 875-8602
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
17006
IL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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