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,LPC,LCAS, CCS (PRESIDENT/CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
2323 STEVENSON DR, SPRINGFIELD, IL 62703-4331
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
05380051
IL
Other
Enumeration date
06/03/2016
Last updated
10/21/2016
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