Gateway Foundation Inc.

NPI #1699130856 in Springfield, Illinois

Provider Information

NPI Number
1699130856
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 15, 2015

Practice Location

Address
2200 LAKE VICTORIA DR
ZIP Code
62703-5596
Phone
(877) 505-4673

Authorized Official

Name
MR. THOMAS P BRITTON, DRPH,LPC,LCAS,CCS,AC
Title
PRESIDENT/CEO
Phone
(312) 663-1130

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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