Provider Demographics
NPI:1457673154
Name:GUIDENCE CENTER OF BROOKLYN
Entity Type:Organization
Organization Name:GUIDENCE CENTER OF BROOKLYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-256-8600
Mailing Address - Street 1:4812 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2418
Mailing Address - Country:US
Mailing Address - Phone:718-436-8692
Mailing Address - Fax:718-436-4292
Practice Address - Street 1:4812 9TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2418
Practice Address - Country:US
Practice Address - Phone:718-436-8692
Practice Address - Fax:718-436-4292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health