| Guidance Center Inc | |
|
220 W Grant Ave Williams AZ 86046-2535 | |
| (928) 635-4272 | |
| Not Available |
| Full Name | 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 |
|---|---|
| Guidance Center Inc 2187 N Vickey St Flagstaff AZ 86004-6121 Ph: (928) 527-1899 | 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316014459 | NPI | - | NPPES |
| OTC6139 | Other | AZ | ADHS LICENSE |
| 116807 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | OTC6139 (Arizona) | Primary |
Gerald J Taitague Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Route 66, Suite 190, Williams, AZ 86046 Phone: 928-635-1044 Fax: 928-635-1042 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403 |