NPI | 1295342772 |
---|---|
Doing Business As | GILEAD ASSOCIATES LLC |
Entity Type | Organization |
Authorized Contact | GBEMISOLA ELIZABETH MOJELOPE Clinical Director 667-225-0673 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2023-09-08 |