Gateway Foundation Inc.
NPI #1417312661 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1417312661
- Entity Type
- Organization
- Organization Name
- Gateway Foundation Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GATEWAY FOUNDATION, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 15, 2015
- Last Updated
- Dec 22, 2021
Practice Location
- Address
- 25480 W CEDAR CREST LN
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-9744
- Phone
- (847) 356-8205
Authorized Official
- Name
- LATINA RUSSELL
- Title
- CONTRACT AND CRED SPECIALIST
- Phone
- (312) 663-1130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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