Organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Active
Organization
WEST YAVAPAI GUIDANCE CLINIC, INC.
Active
Other names
Polara Health, Gail Gardner Office, Ruth Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L PLAYER (CHIEF EXECUTIVE OFFICER)
(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 86314-1213
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
BH1809
AZ
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
OTC6571
AZ
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTC13436
—
AZ
Enumeration date
05/19/2006
Last updated
01/27/2026
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