Organization
GILEAD WELLNESS NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRIL NWAGURU LMSW,MA,MSW,CSW (CEO)
(248) 688-5004
Entity
Organization
Contact information
Practice address
21700 GREENFIELD RD, STE 210, OAK PARK, MI 48237-2581
(248) 688-5004
Mailing address
21700 GREENFIELD RD, STE 210, OAK PARK, MI 48237-2581
(248) 688-5004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801065695
MI
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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