Gilead Wellness Network Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801065695 Issued in MI

Legal business name

GILEAD WELLNESS NETWORK INC.

Practice address

21700 Greenfield Rd
Ste 210
Oak Park, MI 48237-2581

Phone

(248) 688-5004

NPI assigned

Mar 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Cyril Nwaguru, LMSW,MA,MSW,CSW

Title

Ceo

Phone

(248) 688-5004

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1235404203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "STE 210",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-688-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "STE 210",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-688-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD WELLNESS NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "NWAGURU",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-688-5004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW,MA,MSW,CSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801065695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.