| The Guidance Center, Inc. | |
|
220 W Grant Ave Williams AZ 86046-2535 | |
| (928) 635-4272 | |
| Not Available |
| Full Name | The Guidance Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 W Grant Ave, Williams, Arizona |
| Authorized Official Name and Position | Devon Forrest (CEO) |
| Authorized Official Contact | 9285271899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guidance Center, Inc. 2187 N Vickey St Flagstaff AZ 86004-6121 Ph: (928) 527-1899 | The Guidance Center, Inc. 220 W Grant Ave Williams AZ 86046-2535 Ph: (928) 635-4272 |
| NPI Number | 1316014459 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316014459 | NPI | - | NPPES |
| OTC6139 | Other | AZ | ADHS LICENSE |
| 116807 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6139 (Arizona) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |