Gateway Foundation, Inc. - Bhc
NPI #1487471785 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1487471785
- Entity Type
- Organization
- Organization Name
- Gateway Foundation, Inc. - Bhc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 26, 2024
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 1300 LINCOLN AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3112
- Phone
- (877) 381-6538
Authorized Official
- Name
- JOSEPH ZIEBA
- Title
- DIRECTOR OF CONTRACTS AND CRED
- Phone
- (312) 502-1816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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