Organization
WEST YAVAPAI GUIDANCE CLINIC, INC
Active
Other names
Polara Health
Organization subpart
No
Provider details
NPI number
Authorized official
KARA D LANGLEY (CAO)
(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 86314-2283
(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
06/14/2021
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