| NPI | 1093728867 |
|---|---|
| Former Legal Business Name | GILEAD BEHAVIORAL HEALTH INC |
| Entity Type | Organization |
| Authorized Contact | KAREN YVETTE DOUGLASS President 773-487-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071006940) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042051A) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006940) | |
| 101YP1600X Counselor, Pastoral (Licence: IL 071006940) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042051A) | |
| 103TC1900X Psychologist, Counseling (Licence: IL 071006940) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |