Provider Demographics
NPI:1013041961
Name:FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-364-1501
Mailing Address - Street 1:510 FRANCIS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64501-1769
Mailing Address - Country:US
Mailing Address - Phone:816-364-1501
Mailing Address - Fax:816-236-2464
Practice Address - Street 1:901 FELIX ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64501-2706
Practice Address - Country:US
Practice Address - Phone:816-364-1862
Practice Address - Fax:816-236-2464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder