Gateway Professional Services, PC
NPI #1144868407 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1144868407
- Entity Type
- Organization
- Organization Name
- Gateway Professional Services, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GATEWAY PROFESSIONAL SERVICES, PC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 18, 2019
- Last Updated
- Dec 19, 2019
Practice Location
- Address
- 1300 LINCOLN AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3112
- Phone
- (877) 381-6538
Authorized Official
- Name
- DR. ROUEEN RAFEYAN
- Title
- PRESIDENT
- Phone
- (312) 663-1130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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Organizations
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|---|---|
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