Provider Demographics
NPI:1609637941
Name:GUIDANCE 2 GREATNESS
Entity Type:Organization
Organization Name:GUIDANCE 2 GREATNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-867-3925
Mailing Address - Street 1:2551 GALENA AVE # 1232
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1305
Mailing Address - Country:US
Mailing Address - Phone:310-867-3925
Mailing Address - Fax:
Practice Address - Street 1:1260 PATRICIA AVE APT 316
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-7558
Practice Address - Country:US
Practice Address - Phone:503-575-7612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable