Organization · Type 2 NPI
Gateway Foundation, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Lake Villa, IL
NPI number
1285883710
Active
Practice location
25480 W Cedar Crest Ln
Lake Villa, IL 60046-9744
Fax (847) 356-3033
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-0538-0021-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | A-0538-0021-A (IL) |
| Substance Abuse Rehabilitation Facility | 324500000X | C/A-0538-0021-A (IL) |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | A-0538-0021-A (IL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
9 other providers at this address
- Gateway Foundation Inc.Substance Abuse Rehabilitation Facility Lake Villa, IL NPI 1417312661
- Gateway Foundation Inc.Substance Abuse Rehabilitation Facility Lake Villa, IL NPI 1508221755
- Gateway Foundation Inc.Substance Abuse Rehabilitation Facility Lake Villa, IL NPI 1699130849
- Gateway Professional Services, PCAddiction (Substance Use Disorder) Counselor Lake Villa, IL NPI 1194363564
- Dianne Robinson, LCSWClinical Social Worker Lake Villa, IL NPI 1487142345
- Eevon Swilley, LSWSocial Worker Lake Villa, IL NPI 1912550773
- Emily Peters, LPCProfessional Counselor Lake Villa, IL NPI 1275018491
- Matthew Staley, LCSWClinical Social Worker Lake Villa, IL NPI 1770123671
- Patricia CerenilCounselor Lake Villa, IL NPI 1134722770
About NPI 1285883710
Gateway Foundation, Inc.'s National Provider Identifier is 1285883710, issued on Sep 9, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Lake Villa, IL. The record was last updated on Dec 16, 2021.