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Organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Active
Organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Active
Other names
Hillside Outpatient Clinic, Polara Health
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA PLAYER (CEO)
(928) 445-5211
Entity
Organization
Contact information
Practice address
726 GAIL GARDNER WAY, PRESCOTT, AZ 86305-2314
(928) 445-5211
(928) 776-8484
Mailing address
3343 N. WINDSONG DR., PRESCOTT VALLEY, AZ 86314-2283
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
BH309
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CSLG6205
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTC13436
—
AZ
Enumeration date
05/23/2006
Last updated
09/25/2024
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