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Organization
WEST YAVAPAI GUIDANCE CLINIC, INC
Active
Organization
WEST YAVAPAI GUIDANCE CLINIC, INC
Active
Other names
Polara Health
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS GONZALEZ (CEO)
(928) 445-5211
Entity
Organization
Contact information
Practice address
555 W ROAD 3 N, CHINO VALLEY, AZ 86323-5363
(928) 445-5211
Mailing address
3343 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1213
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6262
AZ
Other
Enumeration date
06/25/2013
Last updated
09/09/2026
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