Healthcare Provider Details

I. General information

NPI: 1316023591
Provider Name (Legal Business Name): THE GUIDANCE CENTER - CRISIS STABILIZATION UNIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3113 S 70TH ST
FORT SMITH AR
72903-5017
US

IV. Provider business mailing address

PO BOX 11818
FORT SMITH AR
72917-1818
US

V. Phone/Fax

Practice location:
  • Phone: 479-452-6650
  • Fax: 479-785-9495
Mailing address:
  • Phone: 479-452-6650
  • Fax: 479-785-9495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AARON L. 'RUSTI' HOLWICK
Title or Position: CEO
Credential:
Phone: 479-452-6650