Organization
THE GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY A LOTT JR. MSW,LMSW (CEO)
(734) 785-7700
Entity
Organization
Contact information
Practice address
13101 ALLEN RD, SUITE 500, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13101 ALLEN RD, SUITE 500, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20555
BCBS SA RIDER
MI
01
—
750910723
BCBS OPC
MI
Enumeration date
03/30/2010
Last updated
03/30/2010
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