Guidance to Success Youth Club

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUIDANCE TO SUCCESS YOUTH CLUB

Doing business as

BrighterSide Behavioral Health

Practice address

6500 Holdrege St
Lincoln, NE 68505-1673

Phone

(402) 464-1661

Fax

(402) 325-0212

NPI assigned

Jun 27, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelo Chills Stabler

Title

Executive Director

Phone

(402) 805-9056

Specialties & licenses 1

Addresses

Other names 1

• BrighterSide Behavioral Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1417397084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051673",
            "telephone_number": "402-464-1661",
            "fax_number": "402-325-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051673",
            "telephone_number": "402-464-1661",
            "fax_number": "402-325-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE TO SUCCESS YOUTH CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "STABLER",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "CHILLS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-805-9056"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrighterSide Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanjuanita Maria Guerra
• James Roger Guest, MD
• Angelina Monique Guevara
• Dolores Guevara
• Eve Guggenheim
• Megan Guill
• Melinda Guillotte
• Randee M Guison, HIS
• Natallia E Guithrie
• Anna Karen Guittar, OTD

• Community/Behavioral Health Agency in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.