Gateway Foundation, INC
NPI #1750082194 in Bloomington, Illinois
Provider Information
- NPI Number
- 1750082194
- Entity Type
- Organization
- Organization Name
- Gateway Foundation, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GATEWAY FOUNDATION, INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 404 N HERSHEY RD STE B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3560
- Phone
- (877) 381-6538
Authorized Official
- Name
- JEREMY KLEMANSKI
- Title
- CEO
- Phone
- (312) 663-1130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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