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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