Organization
GATEWAY FOUNDATION, INC
Active
Organization
GATEWAY FOUNDATION, INC
Active
Parent organization
GATEWAY FOUNDATION, INC
Other names
Gateway Foundation, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY FOUNDATION, INC
Authorized official
JEREMY KLEMANSKI (CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
404 N HERSHEY RD STE B, BLOOMINGTON, IL 61704-3560
(877) 381-6538
Mailing address
55 E JACKSON BLVD, CHICAGO, IL 60604-4466
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/13/2023
Last updated
08/06/2024
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