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Organization
GUIDANCE HEALTH SERVICES, INC.
Active
Organization
GUIDANCE HEALTH SERVICES, INC.
Active
Other names
Guidance Health Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY IDEHEN BSC (EXECUTIVE DIRECTOR)
(310) 978-0461
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD STE 210, HAWTHORNE, CA 90250-2322
(310) 978-0461
Mailing address
11633 HAWTHORNE BLVD STE 210, HAWTHORNE, CA 90250-2322
(310) 978-0461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6872
DRUG MEDI-CAL
CA
Enumeration date
04/25/2007
Last updated
09/28/2007
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