Gateway Foundation, Inc.
NPI #1477849909 in Caseyville, Illinois
Provider Information
- NPI Number
- 1477849909
- 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
- Jun 23, 2011
- Last Updated
- Dec 22, 2021
Practice Location
- Address
- 600 W. LINCOLN STREET
- Address 2
- EAST
- City
- Caseyville
- State
- Illinois
- ZIP Code
- 62232
- Phone
- (618) 345-3970
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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