| The Guidance Center, Inc. | |
|
2695 E Industrial Dr Flagstaff AZ 86004 | |
| (928) 714-6450 | |
| (928) 527-1319 |
| Full Name | The Guidance Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2695 E Industrial Dr, Flagstaff, 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 86004-6106 Ph: (928) 527-1899 | The Guidance Center, Inc. 2695 E Industrial Dr Flagstaff AZ 86004 Ph: (928) 714-6450 |
| NPI Number | 1811065600 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065600 | NPI | - | NPPES |
| 158133 | Medicaid | AZ | |
| BH-2845 | Other | AZ | BEHAVIORAL HEALTH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-2845 (Arizona) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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