Organization · Type 2 NPI

Gateway Foundation, Inc.

Substance Abuse Rehabilitation Facility · Carbondale, IL

NPI number 1699066472 Active

Practice location

1080 E. Park Street, 1st Floor, South
Carbondale, IL 62901

Call (618) 529-1151 Map

Fax (618) 549-9540

Mailing address

55 E. Jackson Blvd., Suite 1500
Chicago, IL 60604

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XA-0538-0042-A
Substance Abuse Rehabilitation Facility Primary 324500000XA-0538-0042-A (IL)

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 1699066472

Gateway Foundation, Inc.'s National Provider Identifier is 1699066472, issued on Apr 27, 2011. 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 May 16, 2019.