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Organization

GUIDANCE 2 GREATNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE JEFFERSON (CEO & PRESIDENT)
(310) 867-3925
Entity
Organization

Contact information

Practice address
1260 PATRICIA AVE APT 316, SIMI VALLEY, CA 93065-7558
(503) 575-7612
Mailing address
2551 GALENA AVE # 1232, SIMI VALLEY, CA 93065-1305
(310) 867-3925

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251K00000X
Public Health or Welfare Agency
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
01/23/2024
Last updated
01/23/2024
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