# CHILD GUIDANCE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942465182
- **Authorized official:** MR. GUY PARKER (CFO)
- **Authorized official phone:** (904) 448-4700

## Contact information

- **Practice address:** 5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
- **Practice address phone:** (904) 448-4700
- **Mailing address:** 1100 CESERY BLVD, SUITE 100, JACKSONVILLE, FL 32211-5612
- **Mailing address phone:** (904) 745-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 07/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 060404601 | — | FL |
