Gateway Professional Services, PC
NPI #1285272591 in Springfield, Illinois
Provider Information
- NPI Number
- 1285272591
- 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 17, 2019
- Last Updated
- Jun 14, 2024
Practice Location
- Address
- 2200 LAKE VICTORIA DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5596
- Phone
- (877) 381-6538
Authorized Official
- Name
- DR. ROUEEN RAFEYAN
- Title
- PRESIDENT
- Phone
- (312) 663-1130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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