Organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Active
Parent organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Other names
Polara Health, Windhaven Psychiatric Hospital Out Patient Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST YAVAPAI GUIDANCE CLINIC, INC.
Authorized official
MRS. TAMARA PLAYER (CEO)
(928) 445-5211
Entity
Organization
Contact information
Practice address
3347 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 583-6411
(928) 775-9231
Mailing address
3343 N. WINDSONG DR., PRESCOTT VALLEY, AZ 86314-2283
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BHSH-3202
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6714
AZ
Other
Enumeration date
09/12/2008
Last updated
06/14/2021
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