Healthcare Provider Details
I. General information
NPI: 1750324745
Provider Name (Legal Business Name): FAMILY GUIDANCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 FRANCIS SUITE 200
SAINT JOSEPH MO
64501
US
IV. Provider business mailing address
510 FRANCIS SUITE 200
SAINT JOSEPH MO
64501
US
V. Phone/Fax
- Phone: 816-364-1501
- Fax: 816-364-6735
- Phone: 816-364-1501
- Fax: 816-364-6735
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GARRY
HAMMOND
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 816-364-1501