| The Guidance Center | |
|
19291 Northline Rd Southgate MI 48195-2220 | |
| (734) 287-1500 | |
| Not Available |
| Full Name | The Guidance Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19291 Northline Rd, Southgate, Michigan |
| Authorized Official Name and Position | Mark Small (SUPERVISOR) |
| Authorized Official Contact | 7342871500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guidance Center 19291 Northline Rd Southgate MI 48195-2220 Ph: (734) 287-1500 | The Guidance Center 19291 Northline Rd Southgate MI 48195-2220 Ph: (734) 287-1500 |
| NPI Number | 1720130461 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720130461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801060222 (Michigan) | Primary |
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