Organization
GATEWAY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DARCY (PRESIDENT & CEO)
(312) 663-1130
Entity
Organization
Contact information
Practice address
4301 W GRAND AVE, CHICAGO, IL 60651-1736
(773) 862-2279
(773) 862-0591
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)
Primary
C/A-0538-0030-A
IL
Other
Enumeration date
09/09/2008
Last updated
08/13/2012
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