NPI 1477849909

Gateway Foundation, INC.

Organisation Substance Abuse Rehabilitation Facility Caseyville, IL

Practice location

Address: 600 W. Lincoln Street East, Caseyville, IL 62232
Phone: (618) 345-3970
Fax: (618) 345-3970
Mailing address: 55 E. Jackson Blvd. Suite 1500, Chicago, IL 60604

Authorised official

Name: Latina Russell
Title: Contract and Cred Specialist
Phone: (312) 663-1130

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence A-0538-0044-A (IL)

Other Substance Abuse Rehabilitation Facility providers in Illinois →

Registry record

NPI: 1477849909
Entity type: Organization
NPI issued: 23 Jun 2011
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.