GATEWAY FOUNDATION INC. NPI 1295984425

NPI Information

GATEWAY FOUNDATION, INC. is a substance abuse rehabilitation facility in Chicago, IL. The provider is 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. GATEWAY FOUNDATION, INC. NPI is 1295984425. The provider is registered as an organization entity type.

The provider's business location address is:

3828 W TAYLOR ST
2ND FLOOR, EAST
CHICAGO, IL
ZIP 60624-027
Phone: (773) 826-1916
Fax: (773) 826-2707

The provider's authorized official is Renee Ennis Mcgee .
The authorized official title is Manager and has the following contact phone number (678) 445-4833.

The CLIA number assigned to this NPI record is 14D0993841 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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