| Organization Name: | GATEWAY FOUNDATION, INC. |
| NPI Number: | 1053758193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS P BRITTON (PRESIDENT & CEO) |
| Mailing Address: | 1 Bronze Point Suite 1 Swansea |
| State: | IL US |
| Postal Code: | 62226 |
| Phone Number: | 8775054673 |
| Fax Number: | 6182340127 |
| NPI Enumeration Date: | 05/30/2013 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | A-538-0049-A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |