Organization
GUIDANCE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE MARION PENN PHD (OWNER)
(505) 892-3639
Entity
Organization
Contact information
Practice address
4101 BARBARA LOOP SE, SUITE D, RIO RANCHO, NM 87124-1009
(505) 892-3639
(505) 892-6348
Mailing address
4101 BARBARA LOOP SE, SUITE D, RIO RANCHO, NM 87124-1009
(505) 892-3639
(505) 892-6348
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R14768
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98648
—
NM
Enumeration date
06/05/2006
Last updated
08/10/2012
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