Organization
WEST YAVAPAI GUIDANCE CLINIC, INC
Active
Other names
Polara Health
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MCLAIN (CREDENTIALING SPECIALIST)
(928) 445-5211
Entity
Organization
Contact information
Practice address
3347 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314
(928) 445-5211
(928) 775-9231
Mailing address
3343 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1213
(928) 445-5211
(928) 775-9231
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6714
AZ
Other
Enumeration date
07/17/2015
Last updated
06/14/2021
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