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
Practitioners 2
-
Petrita Laverne Salazar, LCPC
National Provider Directory
- Tax ID family
- Gateway Services Inc
Locations
535 Elm Pl
Ste 1
Princeton, IL 61356
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Roberta Fox
- Anna M Freeman
- Gary W Hoelle
- Gateway Services Inc
- Gateway Services, Inc
- Jenny Gaworski
- Laurie Christine Gleason
- Goldwater Care Princeton LLC
- Goldwater Care Princeton LLC
- Gorenz Counseling and Consulting LTD
All providers in Princeton, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.