Organization · Type 2 NPI
Gateway Foundation, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Swansea, IL
NPI number
1053758193
Active
Practice location
1 Bronze Point, Suite 1
Swansea, IL 62226
Fax (618) 234-0127
Mailing address
55 E Jackson Blvd, Suite 1500
Chicago, IL 60604-4466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | A-538-0049-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | A-0538-0049-A (IL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1053758193
Gateway Foundation, Inc.'s National Provider Identifier is 1053758193, issued on May 30, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Swansea, IL. The record was last updated on Dec 28, 2021.