| Gateway Foundation, Inc. | |
|
1080 E Park St Carbondale IL 62901-3812 | |
| (877) 505-4673 | |
| (618) 549-9540 |
| Full Name | Gateway Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1080 E Park St, Carbondale, Illinois |
| Authorized Official Name and Position | Renee Ennis Mcgee (MANAGER) |
| Authorized Official Contact | 6784454833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Foundation, Inc. 55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 Ph: (312) 663-1130 | Gateway Foundation, Inc. 1080 E Park St Carbondale IL 62901-3812 Ph: (877) 505-4673 |
| NPI Number | 1598914095 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598914095 | NPI | - | NPPES |
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