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,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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