Provider Demographics
NPI:1043755085
Name:THE GUIDANCE CENTER OF WESTCHESTER
Entity Type:Organization
Organization Name:THE GUIDANCE CENTER OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDICTION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-201-9009
Mailing Address - Street 1:1472 WATSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-5346
Mailing Address - Country:US
Mailing Address - Phone:917-201-9009
Mailing Address - Fax:
Practice Address - Street 1:1472 WATSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-5346
Practice Address - Country:US
Practice Address - Phone:917-201-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32918251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health