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
DR. THOMAS P BRITTON DRPH,LCP,LCAS,CCS (PRESIDENT/CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
3828 W TAYLOR ST, MAIN CENTER, CHICAGO, IL 60624-4027
(877) 505-4673
(773) 826-2707
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
A-0538-0026-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0538-0026-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
C/A-0538-0026
IL
Other
Enumeration date
02/03/2012
Last updated
06/03/2016
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