The Guidance Center, Inc. | |
2187 N Vickey St Flagstaff AZ 86004-6106 | |
(928) 714-6409 | |
(928) 714-6480 |
Full Name | The Guidance Center, Inc. |
---|---|
Speciality | Community/Behavioral Health |
Location | 2187 N Vickey St, Flagstaff, Arizona |
Authorized Official Name and Position | Devon Forrest (CEO) |
Authorized Official Contact | 9285271899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Guidance Center, Inc. 2187 N Vickey St Flagstaff AZ 86004-6106 Ph: (928) 714-6409 | The Guidance Center, Inc. 2187 N Vickey St Flagstaff AZ 86004-6106 Ph: (928) 714-6409 |
NPI Number | 1679563290 |
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Provider Enumeration Date | 10/25/2005 |
Last Update Date | 08/22/2022 |
Certification Date | 08/22/2022 |
Medicare PECOS PAC ID | 0143132076 |
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Medicare Enrollment ID | O20031013000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679563290 | NPI | - | NPPES |
106944 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OTC6088 (Arizona) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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