Organization
CHILD GUIDANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY PARKER (CFO)
(904) 448-4700
Entity
Organization
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Mailing address
1100 CESERY BLVD, SUITE 100, JACKSONVILLE, FL 32211-5612
(904) 745-3070
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060404601
—
FL
Enumeration date
07/28/2008
Last updated
07/28/2008
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