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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