Organization
TR HEALTH GROUP
Active
Other names
Innovation 360
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GILLILAND PSY. D (EXECUTIVE DIRECTOR)
(626) 427-2477
Entity
Organization
Contact information
Practice address
6600 LBJ FWY, SUITE 240, DALLAS, TX 75240-6514
(626) 427-2477
(626) 427-2477
Mailing address
6600 LBJ FWY, SUITE 240, DALLAS, TX 75240-6514
(626) 427-2477
(626) 427-2477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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