Organization · Type 2 NPI

Gateway Family Services of Illinois

Adolescent and Children Mental Health Clinic/Center · Potomac, IL

NPI number 1609514801 Active

Practice location

7757 US Route 136
Potomac, IL 61865-3047

Fax (217) 987-6386

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

5 other providers at this address

About NPI 1609514801

Gateway Family Services of Illinois's National Provider Identifier is 1609514801, issued on May 26, 2022. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Potomac, IL. The record was last updated on Sep 21, 2024.