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Organization

THE GUIDANCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE LOTT (CEO)
(734) 785-7705
Entity
Organization

Contact information

Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
(734) 287-8003

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000300
CARELINK
MI
05
4352816
MI
05
444120301
MI
05
4512974
MI
01
669981
CONSUMERLINK
MI
01
750910566
BLUE CROSS BLUE SHIELD MICHIGAN
MI
01
P48898
BLUE CARE NETWORK
MI
Enumeration date
06/03/2008
Last updated
06/03/2008
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