| Guidance Health Services, Inc. | |
|
11633 Hawthorne Blvd Ste 210 Hawthorne CA 90250-2322 | |
| (310) 978-0461 | |
| Not Available |
| Full Name | Guidance Health Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11633 Hawthorne Blvd Ste 210, Hawthorne, California |
| Authorized Official Name and Position | Teddy Idehen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3109780461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidance Health Services, Inc. 11633 Hawthorne Blvd Ste 210 Hawthorne CA 90250-2322 Ph: (310) 978-0461 | Guidance Health Services, Inc. 11633 Hawthorne Blvd Ste 210 Hawthorne CA 90250-2322 Ph: (310) 978-0461 |
| NPI Number | 1225257116 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225257116 | NPI | - | NPPES |
| 6872 | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6872 (California) | Primary |
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