Basic Information
| Provider Information | |||||||||
| NPI: | 1073940375 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE GUIDANCE CENTER OF WESTCHESTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 256 WASHINGTON ST | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | MOUNT VERNON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105531052 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 256 WASHINGTON ST | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | MOUNT VERNON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105531052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146130700 | ||||||||
| FaxNumber: | 9146648189 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2013 | ||||||||
| LastUpdateDate: | 10/01/2013 | ||||||||
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| AuthorizedOfficialLastName: | GELLES | ||||||||
| AuthorizedOfficialFirstName: | AMY | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9146130700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251T00000X | Y | Agencies | PACE Provider Organization |
No ID Information.