Organization
GATEWAY FOUNDATION, INC.
Active
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
MR. THOMAS P. BRITTON (PRESIDENT & CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
1080 E. PARK STREET, 1ST FLOOR, SOUTH, CARBONDALE, IL 62901
(618) 529-1151
(618) 549-9540
Mailing address
55 E. JACKSON BLVD., SUITE 1500, CHICAGO, IL 60604
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0538-0042-A
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0538-0042-A
IL
Other
Enumeration date
04/27/2011
Last updated
05/16/2019
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