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Organization

WEST YAVAPAI GUIDANCE CLINIC, INC

Active
Parent organization
WEST YAVAPAI GUIDANCE CLINIC INC
Other names
Polara Health, Windhaven Pyschiatric Hospital, The Healing Place
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
181 WHIPPLE ST, PRESCOTT, AZ 86301-1705
(928) 583-6411
(928) 772-5445
Mailing address
3343 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1213
(928) 445-5211
(928) 776-8484

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
SH-4435
AZ
284300000X
Special Hospital
SH4435
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366289
AZ
Enumeration date
09/12/2008
Last updated
07/31/2023
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