Organization · Type 2 NPI

Gateway Foundation, Inc.

Substance Abuse Rehabilitation Facility · Carbondale, IL

NPI number 1629635180 Active

Practice location

1080 E Park St
Carbondale, IL 62901-3812

Fax (618) 549-9540

Mailing address

55 E Jackson Blvd Ste 1500
Chicago, IL 60604-4137

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1629635180

Gateway Foundation, Inc.'s National Provider Identifier is 1629635180, issued on May 21, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Carbondale, IL. The record was last updated on Dec 28, 2021.