Organization Name: | CHRISTIAN GUIDANCE CENTER |
NPI Number: | 1437448818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MINOR STEVEN ALEXANDER (ADDICTIONS COUNSELOR) |
Mailing Address: | 91 Glendale St Highland Park |
State: | MI US |
Postal Code: | 482033274 |
Phone Number: | 3132630077 |
Fax Number: | 3138830422 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 820317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |