Organization Name: | GUIDE PROGRAM, INC |
NPI Number: | 1437273372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT K. BIRDSONG (EXECUTIVE DIRECTOR & PRESIDENT) |
Mailing Address: | 5508 Karen Elaine Dr 824 New Carrollton |
State: | MD US |
Postal Code: | 207844131 |
Phone Number: | 3014598220 |
Fax Number: | 3015771756 |
NPI Enumeration Date: | 03/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |