Organization
GILEAD COMMUNITY SERVICES, INC.
Active
Other names
Gilead II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE D LEIBY (DIRECTOR OF FINANCE)
(860) 343-5300
Entity
Organization
Contact information
Practice address
436 WASHINGTON ST, MIDDLETOWN, CT 06457-2527
(860) 343-5317
(860) 343-6150
Mailing address
PO BOX 1000, 222 MAIN STREET EXTENSION, MIDDLETOWN, CT 06457-1000
(860) 343-5300
(860) 343-5306
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
RLC-0004
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004246717
—
CT
Enumeration date
08/30/2007
Last updated
08/30/2007
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