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Gateway Foundation, Inc.
Substance Abuse Rehabilitation Facility in Carbondale, Illinois
NPI 1235420019

Gateway Foundation, Inc. is a Substance Abuse Rehabilitation Facility based in Chicago, IL. Gateway Foundation, Inc. practices in Carbondale, IL. The NPI Number for Gateway Foundation, Inc. is 1235420019 and holds a License No. A-0538-0043-A (Illinois).

The current practice location address for Gateway Foundation, Inc. is 1080 E. Park Street, Carbondale, IL and can be reached out via phone at 618-529-1151 and via fax at 618-549-9540.

Location: 1080 E. Park Street, Carbondale, IL, 60604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235420019
Provider Name
Gateway Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
1080 E. Park Street, Carbondale, IL, 60604
Phone Number
618-529-1151
Fax Number
618-549-9540
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1080 E. Park Street
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-1151
Fax Number
618-549-9540
person
Provider Business Mailing Address Details
Address
1080 E. Park Street
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-1151
Fax Number
618-549-9540
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-0538-0043-A (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A-0538-0043-A ()
Definition
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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