Organization
WEST YAVAPAI GUIDANCE CLINIC CORTEZ
Active
Other names
Polara Health, Cortez Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KARA LANGLEY (CAO)
(928) 445-5211
Entity
Organization
Contact information
Practice address
505 S CORTEZ ST, PRESCOTT, AZ 86303-4319
(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
BH178
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6686
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003434
—
AZ
Enumeration date
05/19/2006
Last updated
11/19/2024
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