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 DRPH,LPC,LCAS,CCS,AC (PRESIDENT/CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703-5596
(877) 505-4673
(217) 529-9151
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
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0538-0019-A
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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