Gateway Services, Inc

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Princeton, IL

NPI 1639600034 · NPPES record last updated Mar 27, 2017

Key facts

NPI
1639600034
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
17006 (IL)
Legal business name
GATEWAY SERVICES, INC
Practice address
526 S Bureau Valley Pkwy
Suite B
Princeton, IL 61356-2046
Phone
(815) 875-4548
Fax
(815) 875-8602
NPI assigned
Mar 27, 2017
Organization subpart
No

Authorized official

Name
Jeffrey M Dean
Title
Pres/Ceo
Phone
(815) 875-4548

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Gateway Services Inc (3 organizations share this tax ID)

Locations

535 Elm Pl
Ste 1
Princeton, IL 61356

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 17006 IL Yes

Addresses

Primary practice location

526 S Bureau Valley Pkwy
Suite B
Princeton, IL 61356-2046

Mailing address

PO Box 535
Princeton, IL 61356-0535
Phone (815) 875-4548

Other providers in Princeton, IL

All providers in Princeton, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

Sources for this page

Verify at the official NPI Registry.