Organization · Type 2 NPI

Gateway Foundation Inc.

Substance Abuse Rehabilitation Facility · Springfield, IL

NPI number 1699130856 Active

Practice location

2200 Lake Victoria Dr
Springfield, IL 62703-5596

Call (877) 505-4673 Map

Fax (217) 529-9151

Mailing address

55 E Jackson Blvd, Suite 1500
Chicago, IL 60604-4466

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XA-0538-0019-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 1699130856

Gateway Foundation Inc.'s National Provider Identifier is 1699130856, issued on Dec 15, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Springfield, IL. The record was last updated on Dec 15, 2015.