Provider Demographics
NPI:1154604973
Name:MULTICULTURAL GUIDANCE CENTER, INC.
Entity type:Organization
Organization Name:MULTICULTURAL GUIDANCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARNLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIZEE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:718-479-0640
Mailing Address - Street 1:8802 209TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2221
Mailing Address - Country:US
Mailing Address - Phone:718-479-0640
Mailing Address - Fax:
Practice Address - Street 1:8802 209TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2221
Practice Address - Country:US
Practice Address - Phone:718-479-0640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015039103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty