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The Guidance Center, Inc

Organization Active NPI Substance Abuse Rehabilitation Facility · Flagstaff, AZ

NPI 1720144645 · NPPES record last updated Aug 22, 2022

Key facts

NPI
1720144645
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
BH2956 (AZ)
Legal business name
THE GUIDANCE CENTER, INC
Practice address
2697 E Industrial Dr
Flagstaff, AZ 86004-6109
Phone
(928) 527-1899
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization (as reported)
THE GUIDANCE CENTER, INC

Authorized official

Name
Mrs. Devon Forrest
Title
Ceo
Phone
(928) 527-1899

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Guidance Center Inc (8 organizations share this tax ID)
Part of
Guidance Center Inc

Locations

2697 E Industrial Dr
Flagstaff, AZ 86004
Phone (928) 527-1899

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH2956 AZ Yes

Addresses

Primary practice location

2697 E Industrial Dr
Flagstaff, AZ 86004-6109

Mailing address

2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone (928) 527-1899

Other identifiers

IdentifierTypeStateIssuer
BH2956OtherAZADHS LICENSE
969884MedicaidAZ

Other names

  • SAARP Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2022.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1720144645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046121",
            "telephone_number": "928-527-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 E INDUSTRIAL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046109",
            "telephone_number": "928-527-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUIDANCE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GUIDANCE CENTER, INC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-527-1899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH2956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS LICENSE",
            "identifier": "BH2956",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAARP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SAARP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.